Provider Demographics
NPI:1629226303
Name:VIOLA-DOWNEY, KATIE ELIZABETH (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:ELIZABETH
Last Name:VIOLA-DOWNEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 BNA DR STE 112
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2536
Mailing Address - Country:US
Mailing Address - Phone:413-732-0040
Mailing Address - Fax:413-732-7007
Practice Address - Street 1:50 UNION ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3317
Practice Address - Country:US
Practice Address - Phone:413-732-0040
Practice Address - Fax:413-732-0040
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116145101YA0400X, 101YM0800X, 101YP2500X, 1041C0700X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110095526AMedicaid
MA110095526AMedicaid