Healthcare Provider Details

I. General information

NPI: 1629226303
Provider Name (Legal Business Name): KATIE ELIZABETH VIOLA-DOWNEY LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 KENDALL ST
SPRINGFIELD MA
01104-2532
US

IV. Provider business mailing address

200 KENDALL ST
SPRINGFIELD MA
01104-2532
US

V. Phone/Fax

Practice location:
  • Phone: 413-356-6319
  • Fax: 413-825-6399
Mailing address:
  • Phone: 413-356-6319
  • Fax: 413-825-6399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116145
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number116145
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number116145
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number116145
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: