Provider Demographics
NPI:1790384428
Name:MACE, KATHERINE T (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:T
Last Name:MACE
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 1:350 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4298
Mailing Address - Country:US
Mailing Address - Phone:828-460-8067
Mailing Address - Fax:
Practice Address - Street 1:350 E OAK ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4298
Practice Address - Country:US
Practice Address - Phone:828-460-8067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical