Provider Demographics
NPI:1194425819
Name:HOPE, KATYA MICHELE (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATYA
Middle Name:MICHELE
Last Name:HOPE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATIA
Other - Middle Name:MICHELE
Other - Last Name:HOPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1821 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1328
Mailing Address - Country:US
Mailing Address - Phone:510-725-0391
Mailing Address - Fax:415-387-2712
Practice Address - Street 1:738 LA PLAYA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-3262
Practice Address - Country:US
Practice Address - Phone:415-387-2750
Practice Address - Fax:415-387-2712
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical