Provider Demographics
NPI:1770790438
Name:ARTHUR, KATHERINE ROBERTSON (LICSW)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ROBERTSON
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:FRANCES
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:28 SCHOOL STREET
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER BY THE SEA
Mailing Address - State:MA
Mailing Address - Zip Code:01944-1368
Mailing Address - Country:US
Mailing Address - Phone:978-525-3683
Mailing Address - Fax:
Practice Address - Street 1:28 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:MANCHESTER BY THE SEA
Practice Address - State:MA
Practice Address - Zip Code:01944-1368
Practice Address - Country:US
Practice Address - Phone:978-525-3683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1048071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical