Individual
KATIE E MACDONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4803 INNOVATION DR STE 3A, FORT COLLINS, CO 80525-7308
(631) 942-2245
Mailing address
4803 INNOVATION DR STE 3A, FORT COLLINS, CO 80525-7308
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009924528
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09931235
CO
Other
Enumeration date
08/23/2021
Last updated
10/29/2025
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