Provider Demographics
NPI:1821124496
Name:GERBY, CATHERINE ALICE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ALICE
Last Name:GERBY
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 1:3180 PEGER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-5484
Mailing Address - Country:US
Mailing Address - Phone:907-455-4357
Mailing Address - Fax:907-455-4358
Practice Address - Street 1:3180 PEGER RD
Practice Address - Street 2:SUITE 210
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-5453
Practice Address - Country:US
Practice Address - Phone:907-455-4357
Practice Address - Fax:907-455-4358
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK5971041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical