Provider Demographics
NPI:1609542224
Name:PREZIOSO, KATHERINE (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:PREZIOSO
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:PREZIOSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2790 W LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-3116
Mailing Address - Country:US
Mailing Address - Phone:330-883-6394
Mailing Address - Fax:
Practice Address - Street 1:5423 MAHONING AVE STE H
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2435
Practice Address - Country:US
Practice Address - Phone:226-234-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker