Provider Demographics
NPI:1598090367
Name:MATHER, CATHERINE (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MATHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 6TH AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6025 6TH AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4004
Practice Address - Country:US
Practice Address - Phone:718-630-7991
Practice Address - Fax:718-630-7190
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical