Provider Demographics
NPI:1588399067
Name:GATY-DELIA, CATHRYN POMEROY (LCSW)
Entity type:Individual
Prefix:
First Name:CATHRYN
Middle Name:POMEROY
Last Name:GATY-DELIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:GATY-DELIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:236 TREVETHAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-1202
Mailing Address - Country:US
Mailing Address - Phone:831-325-7242
Mailing Address - Fax:
Practice Address - Street 1:236 TREVETHAN AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-1202
Practice Address - Country:US
Practice Address - Phone:831-325-7242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1016471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical