Provider Demographics
NPI:1548371255
Name:OVERCASH, KATHERINE HALSTEAD (LCSW & LISW-CP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:HALSTEAD
Last Name:OVERCASH
Suffix:
Gender:F
Credentials:LCSW & LISW-CP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:OVERCASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6747 FAIRVIEW ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210
Mailing Address - Country:US
Mailing Address - Phone:704-981-1898
Mailing Address - Fax:704-495-6116
Practice Address - Street 1:6747 FAIRVIEW ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210
Practice Address - Country:US
Practice Address - Phone:704-981-1898
Practice Address - Fax:704-495-6116
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13989101YM0800X
NCC0056861041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical