Connell, Katrina
Connell, Katrina is an individual health care provider with primary practice located at 5563 Far Hills Ave , Dayton OH 45429-2225. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Connell, Katrina can be contacted via phone (937) 291-2300.Contact Information
Primary practice address
5563 Far Hills Ave
Dayton OH 45429-2225
Phone: (937) 291-2300
Fax: (937) 291-2303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 166548 | Ohio |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.1903328 | Ohio |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I.2304605 | Ohio |
| Other Service Providers / Prevention Professional | 405300000X | 161761 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2304605 | Ohio |
Profile Details
| NPI number | 1346728714 |
|---|---|
| LBN Legal business name | Connell, Katrina |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2018 |
| Last updated | Mar 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346728714 | NPPES |
| Ohio | MEDICAID | 0333299 |
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