Provider Demographics
NPI:1083752141
Name:CHEFETZ, KATHRYN JUDITH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JUDITH
Last Name:CHEFETZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4612 49TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4321
Mailing Address - Country:US
Mailing Address - Phone:202-362-4938
Mailing Address - Fax:202-244-5676
Practice Address - Street 1:4612 49TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4321
Practice Address - Country:US
Practice Address - Phone:202-362-4938
Practice Address - Fax:202-244-5676
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC0030092181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical