Provider Demographics
NPI:1609975101
Name:OCASIO, CATHERINE LORRAINE (LCSW, LAC, MAC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LORRAINE
Last Name:OCASIO
Suffix:
Gender:F
Credentials:LCSW, LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIR
Mailing Address - Street 2:ATTN: CREDENTIALS OFFICE (EACH) USA MEDDAC
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-2862
Mailing Address - Fax:
Practice Address - Street 1:1122 9TH ST STE 201
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3277
Practice Address - Country:US
Practice Address - Phone:970-818-3319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW1272891041C0700X
CO6171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical