Provider Demographics
NPI:1841467875
Name:CAINE, KATHRYN JOANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JOANN
Last Name:CAINE
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 1:14126 STOKESMOUNT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1425
Mailing Address - Country:US
Mailing Address - Phone:281-496-0465
Mailing Address - Fax:281-496-0465
Practice Address - Street 1:14126 STOKESMOUNT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1425
Practice Address - Country:US
Practice Address - Phone:281-496-0465
Practice Address - Fax:281-496-0465
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX165351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical