Provider Demographics
NPI:1710873195
Name:KEATINGE BEZARK, CAT MILO (MSW)
Entity type:Individual
Prefix:
First Name:CAT MILO
Middle Name:
Last Name:KEATINGE BEZARK
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9360
Mailing Address - Country:US
Mailing Address - Phone:626-616-6407
Mailing Address - Fax:
Practice Address - Street 1:78 POMEROY TER
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3378
Practice Address - Country:US
Practice Address - Phone:413-399-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical