MEDICARE: CATHERINE FOYTIK LISW-S

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	1041C0700X	Clinical Social Worker

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	H161773	OTHER	OH	GROUP MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720846728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE FOYTIK LISW-S

Provider Business Mailing Address
First Line	:	11395 CHEYENNE TRL APT 304
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-1997
Country	:	US
Telephone Number	:	440-409-7373
Fax Number	:	440-202-5333

Provider Business Practice Location Address
First Line	:	11395 CHEYENNE TRL APT 304
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-1997
Country	:	US
Telephone Number	:	440-409-7373
Fax Number	:	440-202-5333

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE FOYTIK
Credential	:	LISW-S
Telephone Number	:	440-409-7373

Provider Enumeration Date	:	03/13/2024
Last Update Date	:	04/06/2026

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Directions to “CATHERINE FOYTIK LISW-S ” Practice Location

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