Provider Demographics
NPI:1871755918
Name:KATO, REINA (MSSW)
Entity type:Individual
Prefix:MS
First Name:REINA
Middle Name:
Last Name:KATO
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 JAMES ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-3090
Mailing Address - Country:US
Mailing Address - Phone:203-777-8648
Mailing Address - Fax:203-785-0617
Practice Address - Street 1:370 JAMES ST STE 202
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-3090
Practice Address - Country:US
Practice Address - Phone:203-777-8648
Practice Address - Fax:203-785-0617
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074057104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker