1164017448 NPI number — KATHERINE SARAGA MSW, LSW, LCSW

Table of content: PARIS MABLE (NPI 1427854835)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164017448 NPI number — KATHERINE SARAGA MSW, LSW, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARAGA
Provider First Name:
KATHERINE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW, LSW, LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TALLEY
Provider Other First Name:
KATIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1164017448
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
148 REDWOOD BLV., FOX RIVER GROVE, IL,
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOX RIVER GROVE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-260-1565
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1527 WATKINS LN UNIT 206
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAPERVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60540-9261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-453-1128
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  150.104931 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 149.026549 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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