Provider Demographics
NPI:1154424976
Name:GARNETT, KATHRYN N (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:N
Last Name:GARNETT
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 1:3113 W MARSHALL ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4730
Mailing Address - Country:US
Mailing Address - Phone:804-677-0588
Mailing Address - Fax:804-377-3956
Practice Address - Street 1:3113 W MARSHALL ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-4730
Practice Address - Country:US
Practice Address - Phone:804-677-0588
Practice Address - Fax:804-377-3956
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040054001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904005400OtherLICENSE