Provider Demographics
NPI:1205319993
Name:KALPIN, CATHERINE (LICSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:KALPIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:KALPIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6 PINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-2210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1979
Practice Address - Country:US
Practice Address - Phone:781-596-8812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113023101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool