Provider Demographics
NPI:1700336252
Name:HOAR, KATHERINE MCLEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MCLEAN
Last Name:HOAR
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 1:54 W TWIN OAKS TER
Mailing Address - Street 2:UNIT 12, SUITE 5
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7140
Mailing Address - Country:US
Mailing Address - Phone:802-448-0830
Mailing Address - Fax:
Practice Address - Street 1:54 W TWIN OAKS TER
Practice Address - Street 2:UNIT 12, SUITE 5
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7140
Practice Address - Country:US
Practice Address - Phone:802-448-0830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-08
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01162861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical