Provider Demographics
NPI:1558548636
Name:CATALINA, ELLEN CLAIRE (LCSW)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:CLAIRE
Last Name:CATALINA
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 1:175 MAYNARD ST STE 240
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1636
Mailing Address - Country:US
Mailing Address - Phone:415-463-0231
Mailing Address - Fax:415-864-7093
Practice Address - Street 1:2339 3RD ST STE 24
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-3191
Practice Address - Country:US
Practice Address - Phone:415-463-0231
Practice Address - Fax:707-900-8192
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health