Provider Demographics
NPI:1962871681
Name:MCGIRT, KATONYA (PHD, LICSW, CCHT)
Entity type:Individual
Prefix:
First Name:KATONYA
Middle Name:
Last Name:MCGIRT
Suffix:
Gender:F
Credentials:PHD, LICSW, CCHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 17TH AVE NW STE 1115
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5232
Mailing Address - Country:US
Mailing Address - Phone:253-244-3446
Mailing Address - Fax:253-793-0344
Practice Address - Street 1:5608 17TH AVE NW # 1115
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5232
Practice Address - Country:US
Practice Address - Phone:253-244-3446
Practice Address - Fax:253-793-0344
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA609929011041C0700X, 1041C0700X
FLTPSW274104100000X
MD30808104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker