Provider Demographics
NPI:1922007145
Name:LATHROP, KATIE E (LCSN-C)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:E
Last Name:LATHROP
Suffix:
Gender:F
Credentials:LCSN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUBURBAN HOSPITAL COMMUNITY HOME CARE MGMT. PROGRAM
Mailing Address - Street 2:8600 OLD GEORGETOWN RD.-LAMBERT BLDG. FIRST FLOOR
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-896-6500
Mailing Address - Fax:301-896-6505
Practice Address - Street 1:SUBURBAN HOSPITAL COMMUNITY HOME CARE MGMT. PROGRAM
Practice Address - Street 2:8600 OLD GEORGETOWN RD.-LAMBERT BLDG. FIRST FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-896-6500
Practice Address - Fax:301-896-6505
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07148104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0430-0001OtherBCBS
MD1471414Medicaid
MD1471414Medicaid