Provider Demographics
NPI:1538922992
Name:KALINA, KATHERINE (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:KALINA
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 1:104 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORRESTON
Mailing Address - State:IL
Mailing Address - Zip Code:61030-9754
Mailing Address - Country:US
Mailing Address - Phone:815-973-0595
Mailing Address - Fax:
Practice Address - Street 1:104 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:FORRESTON
Practice Address - State:IL
Practice Address - Zip Code:61030-9754
Practice Address - Country:US
Practice Address - Phone:815-973-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical