Provider Demographics
NPI:1528327228
Name:KATCHAN, ANASTASIA G (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANASTASIA
Middle Name:G
Last Name:KATCHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANASTASIA
Other - Middle Name:
Other - Last Name:NATUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 MACK BLVD FL 4
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5622
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:
Practice Address - Street 1:1245 S CEDAR CREST BLVD STE 201
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6258
Practice Address - Country:US
Practice Address - Phone:610-402-4870
Practice Address - Fax:610-402-4960
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACS0183481041C0700X
PASW128278104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker