Provider Demographics
NPI:1548395403
Name:LATHROP, JAMES (LCSW, BCD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:LATHROP
Suffix:
Gender:M
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N MORNINGSIDE ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2430
Mailing Address - Country:US
Mailing Address - Phone:877-222-2085
Mailing Address - Fax:
Practice Address - Street 1:301 N MORNINGSIDE ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2430
Practice Address - Country:US
Practice Address - Phone:877-222-2085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX149271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical