Provider Demographics
NPI:1972279628
Name:NAGEL, CATHLEEN SWIFT (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:SWIFT
Last Name:NAGEL
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 1:6775 SIMS DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-3242
Mailing Address - Country:US
Mailing Address - Phone:510-928-9733
Mailing Address - Fax:
Practice Address - Street 1:6775 SIMS DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-3242
Practice Address - Country:US
Practice Address - Phone:510-928-9733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA206231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical