Provider Demographics
NPI:1184329443
Name:FELDMEIER, KATHERINE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARIE
Last Name:FELDMEIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:MARIE
Other - Last Name:MAHOLM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:436 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LYNNVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47619-2011
Mailing Address - Country:US
Mailing Address - Phone:812-403-0754
Mailing Address - Fax:
Practice Address - Street 1:436 E 1ST ST
Practice Address - Street 2:
Practice Address - City:LYNNVILLE
Practice Address - State:IN
Practice Address - Zip Code:47619-2011
Practice Address - Country:US
Practice Address - Phone:812-403-0754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34007315A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical