Provider Demographics
NPI:1659845600
Name:KATAN, INDIRA S (LCSW)
Entity Type:Individual
Prefix:
First Name:INDIRA
Middle Name:S
Last Name:KATAN
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:PO BOX 22703
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93121-2703
Mailing Address - Country:US
Mailing Address - Phone:928-202-2120
Mailing Address - Fax:
Practice Address - Street 1:200 N LA CUMBRE RD STE H
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-2592
Practice Address - Country:US
Practice Address - Phone:805-834-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-13
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1109551041C0700X
AZ159311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical