Provider Demographics
NPI:1073886040
Name:CATER, HARRIETTE LUCRETIA (LSW)
Entity Type:Individual
Prefix:MRS
First Name:HARRIETTE
Middle Name:LUCRETIA
Last Name:CATER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N KING RD
Mailing Address - Street 2:APT 901
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-1548
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-496-2504
Practice Address - Street 1:3601 MIRANDA AVE
Practice Address - Street 2:BLDG 2 UNIT 2B1
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-496-2504
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1002109104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker