Provider Demographics
NPI:1548313109
Name:HODGES, CATRENIA PARKS (ACSW)
Entity type:Individual
Prefix:
First Name:CATRENIA
Middle Name:PARKS
Last Name:HODGES
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MEREDITH DR
Mailing Address - Street 2:SUITE 180
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-5237
Mailing Address - Country:US
Mailing Address - Phone:919-294-4840
Mailing Address - Fax:919-544-2691
Practice Address - Street 1:100 MEREDITH DR
Practice Address - Street 2:SUITE 180
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5237
Practice Address - Country:US
Practice Address - Phone:919-294-4840
Practice Address - Fax:919-544-2691
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0015281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical