Provider Demographics
NPI:1184810616
Name:WHITE, CATHERINE CONOVER (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:CONOVER
Last Name:WHITE
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 1:7149 GERMANTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1842
Mailing Address - Country:US
Mailing Address - Phone:215-307-7915
Mailing Address - Fax:215-242-5009
Practice Address - Street 1:7149 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1842
Practice Address - Country:US
Practice Address - Phone:215-307-7915
Practice Address - Fax:215-242-5009
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0152941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical