Provider Demographics
NPI:1780919415
Name:FISHER, CATHERINE CHRISTINA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CHRISTINA
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:CHRISTINA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:142 ELY ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-3857
Mailing Address - Country:US
Mailing Address - Phone:818-640-6337
Mailing Address - Fax:
Practice Address - Street 1:303 VIOLET AVE APT F
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2694
Practice Address - Country:US
Practice Address - Phone:818-640-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA256221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical