Provider Demographics
NPI:1144556200
Name:OATES, KATIE A (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:A
Last Name:OATES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6945 WILLOW CREST DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6685
Mailing Address - Country:US
Mailing Address - Phone:972-542-5018
Mailing Address - Fax:
Practice Address - Street 1:1515 S SAM RAYBURN FWY
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-8735
Practice Address - Country:US
Practice Address - Phone:903-891-1613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31192104100000X
OK3813104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker