Provider Demographics
NPI:1649744145
Name:HOROWITZ, KATELYN A (LCSW)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:A
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 WORNALL RD STE 304
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3206
Mailing Address - Country:US
Mailing Address - Phone:816-932-0365
Mailing Address - Fax:816-960-4498
Practice Address - Street 1:4320 WORNALL RD STE 340
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5941
Practice Address - Country:US
Practice Address - Phone:816-932-0365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL128851041C0700X
KSLSCSW50881041C0700X
WALW612384871041C0700X
UT12994256-35011041C0700X
MO20150263761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical