NPI 1912190885 · live from the CMS NPI Registry
Kathleen D. Altieri, LCSW, CACIII
Social Worker, Clinical in Silverton, OR. National Provider Identifier 1912190885, active.
NPI record
| NPI | 1912190885 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 620 Lone Oaks Loop, Silverton, OR 97381 |
| Practice phone | 925-837-9253 |
| Enumerated | August 23, 2007 |
| Last updated | April 2, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CACIII 6556 (CO) |
| Social Worker, Clinical | 1041C0700X | LCSW769 (CO) |
| Social Worker, Clinical primary | 1041C0700X | L12979 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.