Provider Demographics
NPI:1396370375
Name:KATHRYN STARRATT LICSW PLLC
Entity Type:Organization
Organization Name:KATHRYN STARRATT LICSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STARRATT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-545-5615
Mailing Address - Street 1:120 FISHERVILLE RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03303-2077
Mailing Address - Country:US
Mailing Address - Phone:603-545-5615
Mailing Address - Fax:
Practice Address - Street 1:1 TREMONT ST OFC 4
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4465
Practice Address - Country:US
Practice Address - Phone:603-545-5615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty