Provider Demographics
NPI:1497331532
Name:VARGAS, CATHLENE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHLENE
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7510 4TH AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3200
Mailing Address - Country:US
Mailing Address - Phone:917-650-6984
Mailing Address - Fax:
Practice Address - Street 1:7510 4TH AVE STE 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3200
Practice Address - Country:US
Practice Address - Phone:718-333-5046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor