Provider Demographics
NPI:1134278310
Name:HANVILLE, CATHLEEN E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:E
Last Name:HANVILLE
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 1:56 S MAIN ST UNIT 290
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1557
Mailing Address - Country:US
Mailing Address - Phone:415-643-3890
Mailing Address - Fax:509-972-6809
Practice Address - Street 1:2108 NORTH CRESCENT BLVD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:415-643-3890
Practice Address - Fax:509-972-6809
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0221621041C0700X
CALCS197821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical