Provider Demographics
NPI:1336327378
Name:GARRITY, KATIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:
Last Name:GARRITY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:I
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 STROUDWATER ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4045
Mailing Address - Country:US
Mailing Address - Phone:207-854-0800
Mailing Address - Fax:207-854-0809
Practice Address - Street 1:117 STROUDWATER ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4045
Practice Address - Country:US
Practice Address - Phone:207-854-0800
Practice Address - Fax:207-854-0809
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC113871041C0700X
MELC134671041C0700X
101YM0800X
PASW127455104100000X
PACW0168351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker