Provider Demographics
NPI:1558646075
Name:CAFARELLA HUTTNER, CATHERINE ANN (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:CAFARELLA HUTTNER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 N ALLEN ST
Mailing Address - Street 2:PINE HILLS ELEMENTARY SCHOOL
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1601
Mailing Address - Country:US
Mailing Address - Phone:518-475-6738
Mailing Address - Fax:
Practice Address - Street 1:41 N ALLEN ST
Practice Address - Street 2:PINE HILLS ELEMENTARY SCHOOL
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1601
Practice Address - Country:US
Practice Address - Phone:518-475-6738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0259391041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool