MEDICARE: KATY CASTILLO LCSW

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
1	104100000X	Social Worker		AZ

General Provider Information

NPI Number	:	1134879893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATY CASTILLO LCSW

Provider Business Mailing Address
First Line	:	PO BOX 910221
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-0221
Country	:	US
Telephone Number	:	520-519-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 E SPEEDWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1220
Country	:	US
Telephone Number	:	520-333-7279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	01/05/2026

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Directions to “ KATY CASTILLO LCSW” Practice Location

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