Provider Demographics
NPI:1073769105
Name:MACRAE, CATHERINE JANET (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:JANET
Last Name:MACRAE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 YORK STREET
Mailing Address - Street 2:YALE-NEW HAVEN HOSPITAL
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3202
Mailing Address - Country:US
Mailing Address - Phone:203-688-4888
Mailing Address - Fax:203-688-3596
Practice Address - Street 1:20 YORK STREET
Practice Address - Street 2:YPH
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06504-3203
Practice Address - Country:US
Practice Address - Phone:203-688-4888
Practice Address - Fax:203-688-3596
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0061081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical