Healthcare Provider Details

I. General information

NPI: 1558278978
Provider Name (Legal Business Name): KATHERINE ANNE HOLLINGSWORTH LICSW, SUDP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE ANNE HOLLINGSWORTH LICSW, SUDP

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 E MAXINE AVE
SPOKANE WA
99218-1117
US

IV. Provider business mailing address

514 E MAXINE AVE
SPOKANE WA
99218-1117
US

V. Phone/Fax

Practice location:
  • Phone: 206-245-9447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP.CP.60739088
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.61492271
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: