Provider Demographics
NPI:1467715391
Name:RAHAIM, CATHERINE WILSON (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WILSON
Last Name:RAHAIM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 REDLION RUN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7641
Mailing Address - Country:US
Mailing Address - Phone:770-998-0899
Mailing Address - Fax:
Practice Address - Street 1:242 CREEKSTONE RDG
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3732
Practice Address - Country:US
Practice Address - Phone:770-598-8244
Practice Address - Fax:678-445-5146
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0019291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical