Provider Demographics
NPI:1568869212
Name:KATZ, DEBBIE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BLUE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-5002
Mailing Address - Country:US
Mailing Address - Phone:203-962-4414
Mailing Address - Fax:
Practice Address - Street 1:52 BLUE ROCK DR
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-5002
Practice Address - Country:US
Practice Address - Phone:203-962-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0024941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical