Provider Demographics
NPI:1578867305
Name:CATSKILL SCHOOL
Entity type:Organization
Organization Name:CATSKILL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:518-943-5665
Mailing Address - Street 1:341 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-1621
Mailing Address - Country:US
Mailing Address - Phone:518-943-5665
Mailing Address - Fax:
Practice Address - Street 1:341 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1621
Practice Address - Country:US
Practice Address - Phone:518-943-5665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01502941Medicaid