Provider Demographics
NPI:1083905236
Name:GARRAGHTY, KATHRYN PARRISH (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:PARRISH
Last Name:GARRAGHTY
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 1:7374 CREIGHTON PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-4513
Mailing Address - Country:US
Mailing Address - Phone:804-365-4222
Mailing Address - Fax:804-365-6779
Practice Address - Street 1:7374 CREIGHTON PARKWAY
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-4513
Practice Address - Country:US
Practice Address - Phone:804-365-4222
Practice Address - Fax:804-365-6779
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040075741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical