Provider Demographics
NPI:1063447506
Name:COFER, CATHERINE CAROL (MSSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:CAROL
Last Name:COFER
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 1:6900 LOST VLY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4607
Mailing Address - Country:US
Mailing Address - Phone:512-892-2099
Mailing Address - Fax:
Practice Address - Street 1:6900 LOST VLY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-4607
Practice Address - Country:US
Practice Address - Phone:512-892-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSW00518C8Medicaid
TXSW00518C8Medicaid