Provider Demographics
NPI:1376888636
Name:FELDMAN, KATRINA H (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:H
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 COUNTY ROAD 125
Mailing Address - Street 2:
Mailing Address - City:HESPERUS
Mailing Address - State:CO
Mailing Address - Zip Code:81326-9557
Mailing Address - Country:US
Mailing Address - Phone:970-259-3424
Mailing Address - Fax:
Practice Address - Street 1:915 COUNTY ROAD 125
Practice Address - Street 2:
Practice Address - City:HESPERUS
Practice Address - State:CO
Practice Address - Zip Code:81326-9557
Practice Address - Country:US
Practice Address - Phone:970-259-3424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical