Provider Demographics
NPI:1154998193
Name:ROBEY, KATHERINE RACHEL (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RACHEL
Last Name:ROBEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:RACHEL
Other - Last Name:ROBEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1414 SOQUEL AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2141
Mailing Address - Country:US
Mailing Address - Phone:424-866-8466
Mailing Address - Fax:
Practice Address - Street 1:15559 UNION AVE STE 3088
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3904
Practice Address - Country:US
Practice Address - Phone:669-278-9742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1260451041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical