Provider Demographics
NPI:1679781744
Name:PLUMB, CATHERINE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:PLUMB
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 PIERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PIERMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10968-1215
Mailing Address - Country:US
Mailing Address - Phone:845-398-0028
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY
Practice Address - Street 2:SUITE 1100
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10010-7742
Practice Address - Country:US
Practice Address - Phone:646-522-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043655-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN8K821Medicare UPIN