Provider Demographics
NPI:1184317695
Name:RATCLIFFE, KATIE PEARL (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:PEARL
Last Name:RATCLIFFE
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 473
Mailing Address - Street 2:
Mailing Address - City:CRAB ORCHARD
Mailing Address - State:WV
Mailing Address - Zip Code:25827-0473
Mailing Address - Country:US
Mailing Address - Phone:304-396-9042
Mailing Address - Fax:
Practice Address - Street 1:571 WALNUT LN
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:WV
Practice Address - Zip Code:25951-5282
Practice Address - Country:US
Practice Address - Phone:304-396-9042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVCP009452941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical