Provider Demographics
NPI:1205955994
Name:STEELE, KATHLEEN ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ANNE
Last Name:STEELE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:ANNE
Other - Last Name:STEELE-BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 5142
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-5142
Mailing Address - Country:US
Mailing Address - Phone:650-595-4005
Mailing Address - Fax:650-595-8819
Practice Address - Street 1:611 VETERANS BLVD
Practice Address - Street 2:SUITE 116
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1499
Practice Address - Country:US
Practice Address - Phone:650-595-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 117551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical