Provider Demographics
NPI:1790553857
Name:KATZ, CHANA (LSW)
Entity Type:Individual
Prefix:MRS
First Name:CHANA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:CHANA
Other - Middle Name:
Other - Last Name:TROPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:23407 BEACHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1408
Mailing Address - Country:US
Mailing Address - Phone:818-915-0874
Mailing Address - Fax:
Practice Address - Street 1:22001 FAIRMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-4897
Practice Address - Country:US
Practice Address - Phone:818-915-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2310108104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker