Provider Demographics
NPI:1326845231
Name:BECERRA, CATHERINE (MSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BECERRA
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CUMBERLAND LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-2322
Mailing Address - Country:US
Mailing Address - Phone:209-298-0979
Mailing Address - Fax:
Practice Address - Street 1:5315 WALL ST STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-7937
Practice Address - Country:US
Practice Address - Phone:209-298-0979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135016-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical