Provider Demographics
NPI:1205988615
Name:BALENTINE, CATHERINE ANASTASIA (LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANASTASIA
Last Name:BALENTINE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 SILVERSIDE RD STE 33B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4929
Mailing Address - Country:US
Mailing Address - Phone:302-497-4334
Mailing Address - Fax:302-770-7717
Practice Address - Street 1:3524 SILVERSIDE RD STE 33B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4929
Practice Address - Country:US
Practice Address - Phone:302-497-4334
Practice Address - Fax:302-770-7717
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00010851041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical