Provider Demographics
NPI:1225840317
Name:ANDERSON-LITTLE, CATHERINE BURZYNSKI (LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:BURZYNSKI
Last Name:ANDERSON-LITTLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANNA
Other - Last Name:BURZYNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:746 HADDONSTONE CIR APT 200
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5580
Mailing Address - Country:US
Mailing Address - Phone:407-756-5627
Mailing Address - Fax:
Practice Address - Street 1:746 HADDONSTONE CIR APT 200
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5580
Practice Address - Country:US
Practice Address - Phone:407-756-5627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW24163101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health