Provider Demographics
NPI:1598950156
Name:CANFIELD, CATHERINE L (LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:CANFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 HUME AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22301-1017
Mailing Address - Country:US
Mailing Address - Phone:571-344-2663
Mailing Address - Fax:
Practice Address - Street 1:1012 14TH ST NW
Practice Address - Street 2:SUITE 807
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3406
Practice Address - Country:US
Practice Address - Phone:202-654-5139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD147241041C0700X
DCLC500789491041C0700X
VA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical