Provider Demographics
NPI:1376564997
Name:WINEBURG, CATHERINE RILEY (MSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:RILEY
Last Name:WINEBURG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:WINEBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:200 E BESSEMER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401
Mailing Address - Country:US
Mailing Address - Phone:336-271-2925
Mailing Address - Fax:336-379-7466
Practice Address - Street 1:200 E BESSEMER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401
Practice Address - Country:US
Practice Address - Phone:336-271-2925
Practice Address - Fax:336-379-7466
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0008561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8851KOtherBCBS OF NC
NC8851KOtherBCBS OF NC