Provider Demographics
NPI:1891175691
Name:RADER, CATHERINE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:RADER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12105 WILMONT TURN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-1231
Mailing Address - Country:US
Mailing Address - Phone:240-645-6420
Mailing Address - Fax:
Practice Address - Street 1:12105 WILMONT TURN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1231
Practice Address - Country:US
Practice Address - Phone:240-645-6420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD130401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical