Healthcare Provider Details

I. General information

NPI: 1851933022
Provider Name (Legal Business Name): KATHERINE NOTARIANNI HENRY MSS, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2019
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2832 DEKALB PIKE # 1032
EAST NORRITON PA
19401-1823
US

IV. Provider business mailing address

1950 STREET RD STE 410
BENSALEM PA
19020-3752
US

V. Phone/Fax

Practice location:
  • Phone: 267-907-8399
  • Fax:
Mailing address:
  • Phone: 215-782-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW136428
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW023289
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: