Provider Demographics
NPI:1649402546
Name:STEGALL, CATHI CHRISTIAN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:CATHI
Middle Name:CHRISTIAN
Last Name:STEGALL
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:CATHI
Other - Middle Name:CHRISTIAN
Other - Last Name:CURREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5357 E 134TH ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-3209
Mailing Address - Country:US
Mailing Address - Phone:216-333-3700
Mailing Address - Fax:
Practice Address - Street 1:8495 CRATER LAKE HWY
Practice Address - Street 2:
Practice Address - City:WHITE CITY
Practice Address - State:OR
Practice Address - Zip Code:97503-3011
Practice Address - Country:US
Practice Address - Phone:541-826-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0900980104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker