Provider Demographics
NPI:1932738952
Name:BEASLEY, CATHERINE PATTERSON (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PATTERSON
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7606 DRIFTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4255
Mailing Address - Country:US
Mailing Address - Phone:912-398-7403
Mailing Address - Fax:
Practice Address - Street 1:7606 DRIFTWOOD AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4255
Practice Address - Country:US
Practice Address - Phone:912-398-7403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0058761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical