Provider Demographics
NPI:1790935534
Name:MAIRIN, CATHLEEN (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:MAIRIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:ELLEN
Other - Last Name:MARAKOVITS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 KENNESAW AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060
Mailing Address - Country:US
Mailing Address - Phone:404-352-0047
Mailing Address - Fax:
Practice Address - Street 1:600 KENNESAW AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:404-352-0047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0022981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical