Provider Demographics
NPI:1053974915
Name:JOSEY DEMAIO, KATHERINE (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:JOSEY DEMAIO
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 1:473 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-2311
Mailing Address - Country:US
Mailing Address - Phone:978-349-3021
Mailing Address - Fax:
Practice Address - Street 1:200 N MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:USA
Practice Address - Zip Code:01028
Practice Address - Country:US
Practice Address - Phone:860-461-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2245931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical