Provider Demographics
NPI:1740381755
Name:CURRIE, CATHERINE GALA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:GALA
Last Name:CURRIE
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:P O BOX 4956
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93403-4956
Mailing Address - Country:US
Mailing Address - Phone:805-542-9024
Mailing Address - Fax:805-542-0252
Practice Address - Street 1:684 HIGUERA STREET
Practice Address - Street 2:SUITE C
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3550
Practice Address - Country:US
Practice Address - Phone:805-542-9024
Practice Address - Fax:805-542-0252
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 172811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW17281Medicare ID - Type Unspecified