Provider Demographics
NPI:1427385947
Name:CATLIN, LINDA (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CATLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70234
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-0234
Mailing Address - Country:US
Mailing Address - Phone:865-438-9613
Mailing Address - Fax:865-922-0913
Practice Address - Street 1:7105 AFTON DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5711
Practice Address - Country:US
Practice Address - Phone:865-438-9613
Practice Address - Fax:865-922-0913
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ016711Medicaid
TN13578422OtherCAQH
TN6095OtherPROFESSIONAL LICENSE
TNQ016711Medicaid