Provider Demographics
NPI:1679524342
Name:CATALANO, DAVID G (LCSW-R)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:CATALANO
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2201
Mailing Address - Country:US
Mailing Address - Phone:716-218-1450
Mailing Address - Fax:716-332-2820
Practice Address - Street 1:3982 MAIN ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-3411
Practice Address - Country:US
Practice Address - Phone:716-839-4406
Practice Address - Fax:716-839-4082
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00031485104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00030241501OtherUNIVERA
NY000527923001OtherBLUECROSS/BLUESHIELD
NY279231Medicare ID - Type Unspecified
NY000527923001OtherBLUECROSS/BLUESHIELD