Provider Demographics
NPI:1609342765
Name:CATALIOTI, CHRISSY ANN (LSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISSY
Middle Name:ANN
Last Name:CATALIOTI
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3073 ENGLISH CREEK AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-9711
Mailing Address - Country:US
Mailing Address - Phone:609-569-0239
Mailing Address - Fax:
Practice Address - Street 1:431A TULIP AVE
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4591
Practice Address - Country:US
Practice Address - Phone:248-408-0815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05732100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty