Provider Demographics
NPI:1578816831
Name:COLE, KATHLEEN WHITE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:WHITE
Last Name:COLE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:103 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8621
Mailing Address - Country:US
Mailing Address - Phone:919-801-3847
Mailing Address - Fax:919-542-0641
Practice Address - Street 1:815 SANFORD RD
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9423
Practice Address - Country:US
Practice Address - Phone:919-542-0107
Practice Address - Fax:919-542-0641
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0100931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical