Provider Demographics
NPI:1770880205
Name:CATHOLIC SOCIAL SERVICES INC
Entity type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:GILPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:570-296-1054
Mailing Address - Street 1:724 PHILLIPS ST STE A
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2242
Mailing Address - Country:US
Mailing Address - Phone:570-517-0892
Mailing Address - Fax:570-476-6466
Practice Address - Street 1:724 PHILLIPS ST STE A
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2242
Practice Address - Country:US
Practice Address - Phone:570-517-0892
Practice Address - Fax:570-476-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
PA457038251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management