Provider Demographics
NPI:1760720742
Name:ROWE, KATHERINE G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:G
Last Name:ROWE
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 1:112 SIGNATURE WAY
Mailing Address - Street 2:APT 1123
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5947
Mailing Address - Country:US
Mailing Address - Phone:434-305-7028
Mailing Address - Fax:
Practice Address - Street 1:112 SIGNATURE WAY
Practice Address - Street 2:APT 1123
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5947
Practice Address - Country:US
Practice Address - Phone:434-305-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2014-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040075181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical