Provider Demographics
NPI:1790062735
Name:STONE, CATHRINE CONNELLY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHRINE
Middle Name:CONNELLY
Last Name:STONE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 TENNESSEE ST STE Y
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-8159
Mailing Address - Country:US
Mailing Address - Phone:909-798-9547
Mailing Address - Fax:909-798-4138
Practice Address - Street 1:414 TENNESSEE ST STE Y
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8159
Practice Address - Country:US
Practice Address - Phone:909-798-9547
Practice Address - Fax:909-798-4138
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker