Provider Demographics
NPI:1659051050
Name:BAGGETT, CATHERINE E (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:BAGGETT
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 1:1321 EDINBORO LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2989
Mailing Address - Country:US
Mailing Address - Phone:817-897-3156
Mailing Address - Fax:
Practice Address - Street 1:1321 EDINBORO LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2989
Practice Address - Country:US
Practice Address - Phone:817-897-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX627311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical