Provider Demographics
NPI:1326449851
Name:WEBB, KATHRYN JEAN (LCSW, CAS)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JEAN
Last Name:WEBB
Suffix:
Gender:F
Credentials:LCSW, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7416 WASHINGTON ARCH DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-4732
Mailing Address - Country:US
Mailing Address - Phone:804-944-0800
Mailing Address - Fax:804-299-4727
Practice Address - Street 1:6501 MECHANICSVILLE TPKE STE G3
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3698
Practice Address - Country:US
Practice Address - Phone:804-417-6525
Practice Address - Fax:804-299-4727
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040086041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical