Healthcare Provider Details

I. General information

NPI: 1144884438
Provider Name (Legal Business Name): JULIA CATANZARITE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date: 09/25/2019
Reactivation Date: 02/26/2020

III. Provider practice location address

300 TANKER RD
CORAOPOLIS PA
15108-4805
US

IV. Provider business mailing address

300 TANKER RD
CORAOPOLIS PA
15108-4805
US

V. Phone/Fax

Practice location:
  • Phone: 412-776-7631
  • Fax:
Mailing address:
  • Phone: 412-776-7631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW019995
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierCW019995
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCOMMONWEALTH OF PENNSYLVANIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: