Provider Demographics
NPI:1326572298
Name:GARBER, KATHLEEN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:GARBER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5742
Mailing Address - Country:US
Mailing Address - Phone:301-785-4998
Mailing Address - Fax:
Practice Address - Street 1:22 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5742
Practice Address - Country:US
Practice Address - Phone:301-785-4998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-17
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD204771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical