Provider Demographics
NPI:1861670663
Name:KANE, CATHERINE LEIGH (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:LEIGH
Last Name:KANE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3233
Mailing Address - Country:US
Mailing Address - Phone:978-537-0956
Mailing Address - Fax:978-537-3496
Practice Address - Street 1:40 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3233
Practice Address - Country:US
Practice Address - Phone:978-537-0956
Practice Address - Fax:978-537-3496
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1132381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical