Provider Demographics
NPI:1346018082
Name:SOTO, KATHERINE DOLORES (SW LIC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DOLORES
Last Name:SOTO
Suffix:
Gender:F
Credentials:SW LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98930-1347
Mailing Address - Country:US
Mailing Address - Phone:509-502-8989
Mailing Address - Fax:
Practice Address - Street 1:201 E 2ND ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:WA
Practice Address - Zip Code:98930-1347
Practice Address - Country:US
Practice Address - Phone:509-502-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA610879501041C0700X
WALW610879501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical