Provider Demographics
NPI:1780939652
Name:FREEMIRE, CATHERINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:FREEMIRE
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 1:2073 MAGNOLIA WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1629
Mailing Address - Country:US
Mailing Address - Phone:925-939-4554
Mailing Address - Fax:925-939-4554
Practice Address - Street 1:2073 MAGNOLIA WAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1629
Practice Address - Country:US
Practice Address - Phone:925-939-4554
Practice Address - Fax:925-939-4554
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist