Provider Demographics
NPI:1457321085
Name:HIRNER, CATHERINE S (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:S
Last Name:HIRNER
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MELGROVE LANE
Mailing Address - Street 2:STE 102
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401
Mailing Address - Country:US
Mailing Address - Phone:573-221-8960
Mailing Address - Fax:573-221-8960
Practice Address - Street 1:2 MELGROVE LANE
Practice Address - Street 2:STE 102
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401
Practice Address - Country:US
Practice Address - Phone:573-221-8960
Practice Address - Fax:573-221-8960
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001571104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker