Provider Demographics
NPI:1407289762
Name:HADDEN, KATHRYN JANETTE (LCSWA)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JANETTE
Last Name:HADDEN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:HADDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:205 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2535
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 SUMMER ST
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-2535
Practice Address - Country:US
Practice Address - Phone:828-712-0320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0080401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical