MEDICARE: PHILIP C KATNER LMSW

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	1041C0700X	Clinical Social Worker	17125	LA

General Provider Information

NPI Number	:	1578292132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP C KATNER LMSW

Provider Business Mailing Address
First Line	:	1134 N DUPRE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-3204
Country	:	US
Telephone Number	:	301-717-3380
Fax Number	:

Provider Business Practice Location Address
First Line	:	1134 N DUPRE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-3204
Country	:	US
Telephone Number	:	301-717-3380
Fax Number	:

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

Provider Enumeration Date	:	06/08/2022
Last Update Date	:	06/08/2022

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Directions to “ PHILIP C KATNER LMSW” Practice Location

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