Provider Demographics
NPI:1609079631
Name:RICHARDSON, CATHERINE ANN (LCSW, ACSW, LCPA)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ANN
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:LCSW, ACSW, LCPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 KINGWOOD DR
Mailing Address - Street 2:STE 349
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4473
Mailing Address - Country:US
Mailing Address - Phone:281-507-7626
Mailing Address - Fax:281-689-3084
Practice Address - Street 1:526 KINGWOOD DR
Practice Address - Street 2:STE 340
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4473
Practice Address - Country:US
Practice Address - Phone:281-507-7626
Practice Address - Fax:281-689-3084
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical