Doctor Name: | MS. CATHERINE M WATKINS |
NPI Number: | 1073564332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 2550 W 95th St Ste 206 Evergreen Park, IL - 60805 |
Business Phone Number: | 7084258900 |
Business Fax Number: | 7084259612 |
Mailing Address: | 2850 W 95th St, Ste 206 EVERGREEN PARK |
State: | IL |
Postal Code: | 60805 |
Phone Number: | 7084258900 |
Fax Number: | 7084259612 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |