Provider Demographics
NPI:1992052906
Name:CATALINE, SARAH CATHERINE MARY (LMSW, RSCWI)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:CATHERINE MARY
Last Name:CATALINE
Suffix:
Gender:F
Credentials:LMSW, RSCWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4999 SW 2ND CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8466
Mailing Address - Country:US
Mailing Address - Phone:315-398-1869
Mailing Address - Fax:
Practice Address - Street 1:4999 SW 2ND CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8466
Practice Address - Country:US
Practice Address - Phone:315-398-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084154-1104100000X
FLISW 69561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker