Provider Demographics
NPI:1326286071
Name:WALTER, KATHERINE (LISW-CP, BCD, MAC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:WALTER
Suffix:
Gender:F
Credentials:LISW-CP, BCD, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9150
Mailing Address - Country:US
Mailing Address - Phone:843-789-6975
Mailing Address - Fax:
Practice Address - Street 1:9229 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 2A
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9150
Practice Address - Country:US
Practice Address - Phone:843-789-6975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC71421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical