Provider Demographics
NPI:1104055995
Name:HORAN, CATHLEEN PATRICIA (MSW)
Entity type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:PATRICIA
Last Name:HORAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 RICKOVER RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2330
Mailing Address - Country:US
Mailing Address - Phone:202-352-7499
Mailing Address - Fax:
Practice Address - Street 1:4545 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 417
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-6042
Practice Address - Country:US
Practice Address - Phone:202-352-7499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3036401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical