Provider Demographics
NPI:1699220012
Name:CATALANO, KATIE BELL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:BELL
Last Name:CATALANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:3049 W EASTWOOD AVE APT 2E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3758
Mailing Address - Country:US
Mailing Address - Phone:206-915-5255
Mailing Address - Fax:
Practice Address - Street 1:3049 W EASTWOOD AVE APT 2E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-3758
Practice Address - Country:US
Practice Address - Phone:206-915-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2022-10-03
Deactivation Date:2022-09-12
Deactivation Code:
Reactivation Date:2022-10-03
Provider Licenses
StateLicense IDTaxonomies
IL149.0244491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical