Provider Demographics
NPI:1588801484
Name:CATALANO, MARK DAVID (LCSW)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:DAVID
Last Name:CATALANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3839 BEE CAVES RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6401
Mailing Address - Country:US
Mailing Address - Phone:512-694-9559
Mailing Address - Fax:
Practice Address - Street 1:11305 SANTA CRUZ DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4918
Practice Address - Country:US
Practice Address - Phone:512-694-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX378121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical