Provider Demographics
NPI:1679829980
Name:ORLET, KATRINA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:
Last Name:ORLET
Suffix:
Gender:F
Credentials:MSW, 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 63211
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63163-3211
Mailing Address - Country:US
Mailing Address - Phone:314-541-1024
Mailing Address - Fax:
Practice Address - Street 1:1329 MACKLIND AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1403
Practice Address - Country:US
Practice Address - Phone:314-541-1024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0222931041C0700X
MO20100162541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical