Provider Demographics
NPI:1205119260
Name:CALASANTI, CATHY ANN (LMSW)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:ANN
Last Name:CALASANTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:CATHY
Other - Middle Name:ANN
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:550 W CENTRAL AVE APT 811
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4208
Mailing Address - Country:US
Mailing Address - Phone:620-717-1884
Mailing Address - Fax:
Practice Address - Street 1:1883 W 21ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2104
Practice Address - Country:US
Practice Address - Phone:316-832-0277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3641104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker