Provider Demographics
NPI:1497139471
Name:CATANIA, JANINE MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:MARIE
Last Name:CATANIA
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 RICHMOND AVE
Mailing Address - Street 2:STE 4
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5104
Mailing Address - Country:US
Mailing Address - Phone:917-545-9377
Mailing Address - Fax:718-744-0878
Practice Address - Street 1:3930 RICHMOND AVE STE 4
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-5104
Practice Address - Country:US
Practice Address - Phone:917-545-9377
Practice Address - Fax:718-744-0878
Is Sole Proprietor?:No
Enumeration Date:2015-07-19
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0885801104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08052595Medicaid