Provider Demographics
NPI:1265651533
Name:NIXON, CATHERINE E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:NIXON
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 1:523 GAY ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-7516
Mailing Address - Country:US
Mailing Address - Phone:817-469-8030
Mailing Address - Fax:
Practice Address - Street 1:401 W SANFORD ST
Practice Address - Street 2:SUITE 2601
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-7087
Practice Address - Country:US
Practice Address - Phone:817-255-2686
Practice Address - Fax:817-303-9189
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87617QOtherBLUE CROSS BLUE SHIELD
TX1834202-01Medicaid