Provider Demographics
NPI:1841255627
Name:KATOA, HEMALOTO (LCSW)
Entity type:Individual
Prefix:MR
First Name:HEMALOTO
Middle Name:
Last Name:KATOA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 N 2230 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-3218
Mailing Address - Country:US
Mailing Address - Phone:801-768-0244
Mailing Address - Fax:
Practice Address - Street 1:9176 S 300 W
Practice Address - Street 2:SUITE 34
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2668
Practice Address - Country:US
Practice Address - Phone:801-403-4025
Practice Address - Fax:801-601-3195
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5655802-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT788007788049Medicaid