Provider Demographics
NPI:1689696056
Name:FLETCHER, CATHERINE RUTH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:RUTH
Last Name:FLETCHER
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 1:4702 TAPROOT LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-8100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2020 W MAIN ST
Practice Address - Street 2:STE. 301
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4683
Practice Address - Country:US
Practice Address - Phone:919-286-3453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0003201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical