Provider Demographics
NPI:1396080941
Name:BATTAGLIA, CATHY M (MSW, LMSW)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:M
Last Name:BATTAGLIA
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13735 IDA AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-5422
Mailing Address - Country:US
Mailing Address - Phone:248-298-6125
Mailing Address - Fax:
Practice Address - Street 1:21610 E 11 MILE RD STE 5
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1671
Practice Address - Country:US
Practice Address - Phone:248-277-2679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7881-C1041C0700X
MI68010946311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical