Provider Demographics
NPI:1518073931
Name:GRUND, CATHERINE R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:R
Last Name:GRUND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:719 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1701
Mailing Address - Country:US
Mailing Address - Phone:847-492-8232
Mailing Address - Fax:847-492-8201
Practice Address - Street 1:719 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1701
Practice Address - Country:US
Practice Address - Phone:847-492-8232
Practice Address - Fax:847-492-8201
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical