Provider Demographics
NPI:1770302556
Name:CATALA, MICHELE M (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:M
Last Name:CATALA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13935 S OREGON DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-7073
Mailing Address - Country:US
Mailing Address - Phone:630-429-5818
Mailing Address - Fax:
Practice Address - Street 1:13935 S OREGON DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-7073
Practice Address - Country:US
Practice Address - Phone:630-429-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL49.0275661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical