Doctor Name: | MS. CATHLEEN ANNE POWELL |
NPI Number: | 1548332430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | CW015086 |
Business Practice Address: | Rt 209 Hc 1 Box 110 Brodheadsville, PA - 18322 |
Business Phone Number: | 5709924400 |
Business Fax Number: | 5709925262 |
Mailing Address: | 298 Shane Drive, EFFORT |
State: | PA |
Postal Code: | 18330 |
Phone Number: | 5706201930 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW015086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |