Provider Demographics
NPI:1730420647
Name:WEINER, CATHERINE LORENE (LISW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LORENE
Last Name:WEINER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 N FEDERAL AVE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3227
Mailing Address - Country:US
Mailing Address - Phone:641-210-7019
Mailing Address - Fax:641-423-3836
Practice Address - Street 1:124 N FEDERAL AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3227
Practice Address - Country:US
Practice Address - Phone:641-210-7019
Practice Address - Fax:641-423-3836
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0070371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical