Provider Demographics
NPI:1235686296
Name:RISKIE, CATHERINE (LCSWC, MSW, MA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:RISKIE
Suffix:
Gender:F
Credentials:LCSWC, MSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 EXECUTIVE BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3858
Mailing Address - Country:US
Mailing Address - Phone:240-558-9080
Mailing Address - Fax:
Practice Address - Street 1:6000 EXECUTIVE BLVD STE 530
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3858
Practice Address - Country:US
Practice Address - Phone:240-558-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD260591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical