Provider Demographics
NPI:1801903141
Name:BARTON, CATHERINE ANN (LCSW LMFT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:BARTON
Suffix:
Gender:F
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 COMMANDER DRIVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605
Mailing Address - Country:US
Mailing Address - Phone:903-757-9500
Mailing Address - Fax:903-757-9500
Practice Address - Street 1:102 COMMANDER DRIVE
Practice Address - Street 2:SUITE 9
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605
Practice Address - Country:US
Practice Address - Phone:903-757-9500
Practice Address - Fax:903-757-9500
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS120911041C0700X
TX512091104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX108107702Medicaid
TX005427OtherBCBS
TX00387EMedicare ID - Type Unspecified