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: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 UNION ST
WEST SPRINGFIELD MA
01089-3317
US

IV. Provider business mailing address

402 BNA DR STE 112
NASHVILLE TN
37217-2536
US

V. Phone/Fax

Practice location:
  • Phone: 413-732-0040
  • Fax: 413-732-0040
Mailing address:
  • Phone: 413-732-0040
  • Fax: 413-732-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
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 TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116145
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: