Provider Demographics
NPI:1881712172
Name:ENGEL-MARDER, CATHY JOYCE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:JOYCE
Last Name:ENGEL-MARDER
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 1:6926 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-3306
Mailing Address - Country:US
Mailing Address - Phone:323-934-7979
Mailing Address - Fax:
Practice Address - Street 1:6926 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-3306
Practice Address - Country:US
Practice Address - Phone:323-934-7979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 238181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical