Provider Demographics
NPI:1114609484
Name:BARBATI, KAITLIN (LCSW)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:BARBATI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 WINDMILL DR
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-7026
Mailing Address - Country:US
Mailing Address - Phone:817-675-3084
Mailing Address - Fax:
Practice Address - Street 1:211 W 5TH ST
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-4622
Practice Address - Country:US
Practice Address - Phone:940-202-9016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2025-02481041C0700X
TX661311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty