Doctor Name: | MRS. KATHERINE A CASABELLA |
NPI Number: | 1568548287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | KY2021 |
Business Practice Address: | 750 W Lincoln Trail Blvd Suite 103 Radcliff, KY - 401602604 |
Business Phone Number: | 2703518976 |
Business Fax Number: | 2703518980 |
Mailing Address: | 750 W Lincoln Trail Blvd, Suite 103 RADCLIFF |
State: | KY |
Postal Code: | 401602604 |
Phone Number: | 2703518976 |
Fax Number: | 2703518980 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | KY2021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |