Provider Demographics
NPI:1922136373
Name:SMITH-GILHAM, CATHY CARMEL (LCSW, CADC)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:CARMEL
Last Name:SMITH-GILHAM
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7439 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6696
Mailing Address - Country:US
Mailing Address - Phone:708-207-1307
Mailing Address - Fax:708-775-6095
Practice Address - Street 1:6111 HARRISON ST STE 119
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-2970
Practice Address - Country:US
Practice Address - Phone:708-207-1307
Practice Address - Fax:708-775-6095
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005992A1041C0700X
IL1490102571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL210649Medicare ID - Type UnspecifiedPARTICIPATING PROVIDED