Provider Demographics
NPI:1114412301
Name:LOUTREL, KATHERINE E (LCSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:LOUTREL
Suffix:
Gender:F
Credentials:LCSW, LCSW-C
Other - Prefix:
Other - First Name:KAT
Other - Middle Name:
Other - Last Name:LOUTREL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LCSW-C
Mailing Address - Street 1:609 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-3819
Mailing Address - Country:US
Mailing Address - Phone:717-504-8124
Mailing Address - Fax:
Practice Address - Street 1:609 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3819
Practice Address - Country:US
Practice Address - Phone:717-504-8124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD238751041C0700X
PACW0222511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
698860OtherADHD- CERTIFIED CLINICAL SPECIALTY PROVIDER