Provider Demographics
NPI:1407573587
Name:ANTHONY, CATHRINE JUANITA (EDD , LCSW)
Entity Type:Individual
Prefix:DR
First Name:CATHRINE
Middle Name:JUANITA
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:EDD , LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 KINGSMAN DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-3404
Mailing Address - Country:US
Mailing Address - Phone:540-520-6910
Mailing Address - Fax:
Practice Address - Street 1:337 KINGSMAN DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-3404
Practice Address - Country:US
Practice Address - Phone:540-520-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1041C0700X
VA09040144691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical