Provider Demographics
NPI:1962851758
Name:CRIBBS, KATHRYN JAMISON (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JAMISON
Last Name:CRIBBS
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 1:3220 17TH ST NW
Mailing Address - Street 2:SUITE #10
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2135
Mailing Address - Country:US
Mailing Address - Phone:202-455-6856
Mailing Address - Fax:
Practice Address - Street 1:3220 17TH ST NW
Practice Address - Street 2:SUITE 10
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2135
Practice Address - Country:US
Practice Address - Phone:202-455-6856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500799821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical