Provider Demographics
NPI:1952838443
Name:LOVERN, CATHERINE DIEHL (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:DIEHL
Last Name:LOVERN
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 1:614 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-1034
Mailing Address - Country:US
Mailing Address - Phone:954-614-7966
Mailing Address - Fax:
Practice Address - Street 1:614 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-1034
Practice Address - Country:US
Practice Address - Phone:954-614-7966
Practice Address - Fax:954-614-7966
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW144621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical