Provider Demographics
NPI:1104926047
Name:YATES, CATHERINE MARIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MARIE
Last Name:YATES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:MARIE
Other - Last Name:YATES-ADDISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2009 GREENPOINT DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-4938
Mailing Address - Country:US
Mailing Address - Phone:504-363-0164
Mailing Address - Fax:504-368-1237
Practice Address - Street 1:1601 PERDIDO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1262
Practice Address - Country:US
Practice Address - Phone:504-363-0149
Practice Address - Fax:504-363-1237
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA40401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical