Provider Demographics
NPI:1417481490
Name:OBLINGER, KATARINA (LMSW)
Entity Type:Individual
Prefix:
First Name:KATARINA
Middle Name:
Last Name:OBLINGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3870 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881-9742
Mailing Address - Country:US
Mailing Address - Phone:616-308-7485
Mailing Address - Fax:
Practice Address - Street 1:3870 JACKSON ROAD
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:MI
Practice Address - Zip Code:48881
Practice Address - Country:US
Practice Address - Phone:616-308-7485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-17
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical