Doctor Name: | MS. KATHERINE CAMPBELL-GASTON |
NPI Number: | 1003927435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | S-0001488 |
Business Practice Address: | 29133 Health Campus Dr Westlake, OH - 441455256 |
Business Phone Number: | 4408356212 |
Business Fax Number: | 4408356231 |
Mailing Address: | 4890 Waldamere Ave, WILLOUGHBY |
State: | OH |
Postal Code: | 440945771 |
Phone Number: | 4409429225 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | S-0001488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |