Provider Demographics
NPI:1215345574
Name:ANGEL, CATALINA (MA)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:ANGEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:CATALINA
Other - Middle Name:
Other - Last Name:ANGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCSW
Mailing Address - Street 1:5535 NETHERLAND AVE
Mailing Address - Street 2:APT 4D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2341
Mailing Address - Country:US
Mailing Address - Phone:646-742-7716
Mailing Address - Fax:
Practice Address - Street 1:5535 NETHERLAND AVE
Practice Address - Street 2:APT 4D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2341
Practice Address - Country:US
Practice Address - Phone:646-742-7716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085631-11041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical