Provider Demographics
NPI:1043396435
Name:HART, CATHERINE (MSWLCSW,SCSA)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:MSWLCSW,SCSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 KNIGHT ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-3126
Mailing Address - Country:US
Mailing Address - Phone:860-945-6010
Mailing Address - Fax:860-945-6010
Practice Address - Street 1:9 KNIGHT ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-3126
Practice Address - Country:US
Practice Address - Phone:860-945-6010
Practice Address - Fax:860-945-6010
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0041891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical