Provider Demographics
NPI:1639675283
Name:OBORDO, CATHERINE D (LCSW, CADC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:D
Last Name:OBORDO
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3041 SOLITUDE LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-8643
Mailing Address - Country:US
Mailing Address - Phone:630-803-4563
Mailing Address - Fax:
Practice Address - Street 1:654 W VETERANS PKWY STE B
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-2510
Practice Address - Country:US
Practice Address - Phone:630-553-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0199491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical