Provider Demographics
NPI:1144790478
Name:RAWLINGS, CATHY RENEE (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:RENEE
Last Name:RAWLINGS
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 1:4435 ROCKY FORD RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-7849
Mailing Address - Country:US
Mailing Address - Phone:229-269-2870
Mailing Address - Fax:
Practice Address - Street 1:4435 ROCKY FORD RD
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-7849
Practice Address - Country:US
Practice Address - Phone:229-269-2870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW76731041C0700X
GAMSW008437171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171W00000XOther Service ProvidersContractor