Basic Information
Provider Information
NPI: 1699924571
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGEE
FirstName: CATLIN
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 155 N OCCIDENTAL BLVD
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900264641
CountryCode: US
TelephoneNumber: 2133812931
FaxNumber: 2133858446
Practice Location
Address1: 3200 MOTOR AVE
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900343740
CountryCode: US
TelephoneNumber: 3108361223
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/16/2008
LastUpdateDate: 10/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XLCSW79928CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical
101YM0800XASW71599CAN Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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