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NPI Code Detail

MEDICARE: MRS. KATHERINE NAZAROFF LCSW-S

MEDICARE: MRS. KATHERINE NAZAROFF LCSW-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
1101Y00000XCounselor
2104100000XSocial Worker
31041C0700XClinical Social Worker61060TX

General Provider Information

NPI Number : 1801270442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE NAZAROFF LCSW-S
Provider Business Mailing Address
First Line : 13619 GLEN ERICA DR
Second Line :
City : HOUSTON
State : TX
Zip : 77069-2716
Country : US
Telephone Number : 713-857-3452
Fax Number :
Provider Business Practice Location Address
First Line : 13810 CHAMPION FOREST DR STE 150
Second Line :
City : HOUSTON
State : TX
Zip : 77069-1883
Country : US
Telephone Number : 713-678-0434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2015
Last Update Date : 04/12/2022

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Directions to “ MRS. KATHERINE NAZAROFF LCSW-S” Practice Location

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