Provider Demographics
NPI:1093054199
Name:CATES, LORRAINE BARBARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:BARBARA
Last Name:CATES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 89TH ST APT 3L
Mailing Address - Street 2:3L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6707
Mailing Address - Country:US
Mailing Address - Phone:212-410-4101
Mailing Address - Fax:
Practice Address - Street 1:401 E 89TH ST APT 3L
Practice Address - Street 2:3L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6707
Practice Address - Country:US
Practice Address - Phone:212-410-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO13290-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPRO13290-1OtherLCSW