Provider Demographics
NPI:1114141041
Name:WOYAHN, CATHY (LCSW-R)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:WOYAHN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:NY
Mailing Address - Zip Code:12547-5506
Mailing Address - Country:US
Mailing Address - Phone:845-901-1067
Mailing Address - Fax:845-728-0667
Practice Address - Street 1:658 AARON CT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2968
Practice Address - Country:US
Practice Address - Phone:845-901-1076
Practice Address - Fax:845-728-0667
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0726091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical