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NPI Code Detail

MEDICARE: CELESTEE CATHEY LCSW

MEDICARE: CELESTEE CATHEY 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
11041C0700XClinical Social Worker
2104100000XSocial WorkerM-07809NM

General Provider Information

NPI Number : 1215367693
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTEE CATHEY LCSW
Provider Business Mailing Address
First Line : 1040 SAKELARES BLVD
Second Line :
City : GRANTS
State : NM
Zip : 87020-3819
Country : US
Telephone Number : 505-876-1890
Fax Number :
Provider Business Practice Location Address
First Line : 1040 SAKELARES BLVD
Second Line :
City : GRANTS
State : NM
Zip : 87020-3819
Country : US
Telephone Number : 505-876-1890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2013
Last Update Date : 01/18/2023

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Directions to “ CELESTEE CATHEY LCSW” Practice Location

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