Provider Demographics
NPI:1477964658
Name:KATELIN STREBEL LMSW PLLC
Entity Type:Organization
Organization Name:KATELIN STREBEL LMSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASTER SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STREBEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:914-494-9054
Mailing Address - Street 1:222 BEACH 109TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694-2304
Mailing Address - Country:US
Mailing Address - Phone:914-494-9054
Mailing Address - Fax:
Practice Address - Street 1:222 BEACH 109TH ST
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-2304
Practice Address - Country:US
Practice Address - Phone:914-494-9054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087328104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty