Provider Demographics
NPI:1275680431
Name:COURTNEY, CATHERINE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MARIE
Last Name:COURTNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:MARIE
Other - Last Name:STEINBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:27 W 96TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6607
Mailing Address - Country:US
Mailing Address - Phone:212-662-9966
Mailing Address - Fax:917-493-3526
Practice Address - Street 1:27 W 96TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6607
Practice Address - Country:US
Practice Address - Phone:212-662-9966
Practice Address - Fax:917-493-3526
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO51492-01041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7493719OtherGHI PIN NUMBER
NY01622435Medicaid
NY163735OtherVALUE OPTIONS PIN NUMBER
NYN65101Medicare PIN