Provider Demographics
NPI:1912323924
Name:HOUGHTALING, KATHERINE CLARK (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:CLARK
Last Name:HOUGHTALING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:CLARK
Other - Last Name:KRAUSSMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 LAYTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1132
Mailing Address - Country:US
Mailing Address - Phone:860-478-7676
Mailing Address - Fax:
Practice Address - Street 1:70 LAYTON ST
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1132
Practice Address - Country:US
Practice Address - Phone:860-478-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical