Healthcare Provider Details

I. General information

NPI: 1023130598
Provider Name (Legal Business Name): KATHERINE LICHTER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 RAILROAD AVE
SAYVILLE NY
11782-2710
US

IV. Provider business mailing address

322 E MANHASSET ST
ISLIP TERRACE NY
11752-2521
US

V. Phone/Fax

Practice location:
  • Phone: 631-258-9598
  • Fax:
Mailing address:
  • Phone: 631-224-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number073526-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: