Provider Demographics
NPI:1316954407
Name:CATTAN, MONA (LCSW)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:CATTAN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:MONA
Other - Middle Name:
Other - Last Name:CATTAN-LEWIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9111 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-3452
Mailing Address - Country:US
Mailing Address - Phone:502-451-6662
Mailing Address - Fax:502-451-6665
Practice Address - Street 1:9111 WILSON AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40242-3452
Practice Address - Country:US
Practice Address - Phone:502-451-6662
Practice Address - Fax:502-451-6662
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-13551041C0700X
KY13551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000201858OtherANTHEM BC BS
KY239269OtherCOMPSYCH
KY453126OtherVALUE OPTIONS
KY8200025800Medicaid
KY000000539139OtherANTHEM
KY10654346504OtherHUMANA
KY1078665OtherCIGNA
KY820000258Medicaid
KY000000201848OtherANTHEM INTERWOVEN WELLNES
KY11496482OtherCAQH
KY268317000OtherMAGELLAN BEH HEALTH
KY7065283OtherAETNA
KY11496482OtherCAQH
KY000000201858OtherANTHEM BC BS
KY453126OtherVALUE OPTIONS
KY268317000OtherMAGELLAN BEH HEALTH