Provider Demographics
NPI:1871959114
Name:KATZ, LIAT JENNIFER (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:LIAT
Middle Name:JENNIFER
Last Name:KATZ
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 LEMAY ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-2327
Mailing Address - Country:US
Mailing Address - Phone:240-478-0260
Mailing Address - Fax:
Practice Address - Street 1:5921 LEMAY ROAD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20851-2327
Practice Address - Country:US
Practice Address - Phone:240-478-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical