Provider Demographics
NPI:1598486185
Name:PHILLIPS-MADRIGAL, CATHERINE ALLISON (SUPERVISEE IN SW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ALLISON
Last Name:PHILLIPS-MADRIGAL
Suffix:
Gender:F
Credentials:SUPERVISEE IN SW
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:ALLISON
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8319 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-2134
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1005 N GLEBE RD STE 525
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5792
Practice Address - Country:US
Practice Address - Phone:540-847-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0906016806104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker