Provider Demographics
NPI:1700075280
Name:ALBERT, KATHARINE (MSW)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:ALBERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-0655
Mailing Address - Country:US
Mailing Address - Phone:909-962-8552
Mailing Address - Fax:
Practice Address - Street 1:428 HARRISON AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4605
Practice Address - Country:US
Practice Address - Phone:909-962-8552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 283311041C0700X
HILCSW 37761041C0700X
NYLMSW 0777161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical