Healthcare Provider Details

I. General information

NPI: 1912835331
Provider Name (Legal Business Name): KATRINA SICKLES-JOSSEY LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 5TH AVE S
BIRMINGHAM AL
35222-2309
US

IV. Provider business mailing address

3220 5TH AVE S
BIRMINGHAM AL
35222-2309
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-1917
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6772C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: