Provider Demographics
NPI:1518178136
Name:CHASE, CATHERINE E (MED,CAGS,RN,LMHC,LR)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:E
Last Name:CHASE
Suffix:
Gender:F
Credentials:MED,CAGS,RN,LMHC,LR
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:P
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED,CAGS,RN,LMHC,LR
Mailing Address - Street 1:750 DAVOL ST UNIT 111
Mailing Address - Street 2:FALL RIVER
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1015
Mailing Address - Country:US
Mailing Address - Phone:508-679-1729
Mailing Address - Fax:508-677-2324
Practice Address - Street 1:750 DAVOL ST UNIT 111
Practice Address - Street 2:FALL RIVER
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1015
Practice Address - Country:US
Practice Address - Phone:508-679-1729
Practice Address - Fax:508-677-2324
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA677101Y00000X
MA3286101YM0800X
MA618106H00000X
MA253131163W00000X
RIRN40272163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No163W00000XNursing Service ProvidersRegistered Nurse