Healthcare Provider Details

I. General information

NPI: 1578221495
Provider Name (Legal Business Name): KATHARINE GATES WEISKOTTEN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CADMAN PLZ W
BROOKLYN NY
11201-3229
US

IV. Provider business mailing address

300 CADMAN PLZ W
BROOKLYN NY
11201-3229
US

V. Phone/Fax

Practice location:
  • Phone: 323-205-7088
  • Fax: 833-419-0181
Mailing address:
  • Phone: 323-205-7088
  • Fax: 833-419-0181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number104059
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: