Provider Demographics
NPI:1801545330
Name:SATHOFF, HOLLY KATRINA (MSW, CSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:KATRINA
Last Name:SATHOFF
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 KANSAS AVE SE
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-2517
Mailing Address - Country:US
Mailing Address - Phone:605-352-8596
Mailing Address - Fax:605-352-7001
Practice Address - Street 1:914 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:SD
Practice Address - Zip Code:57042-2435
Practice Address - Country:US
Practice Address - Phone:605-256-9656
Practice Address - Fax:605-352-7001
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6085104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker