Provider Demographics
NPI:1780140475
Name:HUGHES, CATHERINE L (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:L
Last Name:HUGHES
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 1:4632 STATE ROUTE 1043
Mailing Address - Street 2:
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-7661
Mailing Address - Country:US
Mailing Address - Phone:606-498-4175
Mailing Address - Fax:
Practice Address - Street 1:4632 STATE ROUTE 1043
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-7661
Practice Address - Country:US
Practice Address - Phone:606-498-4175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2024-03-22
Deactivation Date:2022-12-12
Deactivation Code:
Reactivation Date:2023-02-27
Provider Licenses
StateLicense IDTaxonomies
OHI.22035721041C0700X, 1041C0700X
KY12701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical