Provider Demographics
NPI:1407148570
Name:FORQUER, CATHERINE WILLEFORD (MSSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:WILLEFORD
Last Name:FORQUER
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CROMDALE LN
Mailing Address - Street 2:
Mailing Address - City:TROUTMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28166-7646
Mailing Address - Country:US
Mailing Address - Phone:704-528-4992
Mailing Address - Fax:
Practice Address - Street 1:135 CROMDALE LN
Practice Address - Street 2:
Practice Address - City:TROUTMAN
Practice Address - State:NC
Practice Address - Zip Code:28166-7646
Practice Address - Country:US
Practice Address - Phone:704-528-4992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0034211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical