Provider Demographics
NPI:1932826096
Name:KEITH, CATHARINE GILFILLAN (LSW)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:GILFILLAN
Last Name:KEITH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CRUM CREEK LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1603
Mailing Address - Country:US
Mailing Address - Phone:610-304-6507
Mailing Address - Fax:
Practice Address - Street 1:301 CRUM CREEK LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-1603
Practice Address - Country:US
Practice Address - Phone:610-304-6507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW137990104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker