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NPI Code Detail

MEDICARE: CHRISTY KATKE M.S.W., L.C.S.W.

MEDICARE: CHRISTY KATKE M.S.W., L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW005494MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1178672OTHERMOBLUE CROSS BLUE SHIELD
2440586OTHERMOHEALTHLINK

General Provider Information

NPI Number : 1093816720
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY KATKE M.S.W., L.C.S.W.
Provider Business Mailing Address
First Line : 15455 MANCHESTER RD UNIT 161
Second Line :
City : BALLWIN
State : MO
Zip : 63022-5008
Country : US
Telephone Number : 314-548-2121
Fax Number : 636-333-4510
Provider Business Practice Location Address
First Line : 2200 W PORT PLAZA DR STE 326
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-3214
Country : US
Telephone Number : 314-548-2121
Fax Number : 636-333-4510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 10/02/2023

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