Provider Demographics
NPI:1215247945
Name:WORTH, CATHERINE MAUSER (MSW STUDENT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MAUSER
Last Name:WORTH
Suffix:
Gender:F
Credentials:MSW STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 NORTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-1534
Mailing Address - Country:US
Mailing Address - Phone:860-793-7291
Mailing Address - Fax:860-793-4468
Practice Address - Street 1:88 EAST ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2342
Practice Address - Country:US
Practice Address - Phone:860-793-7291
Practice Address - Fax:860-793-4468
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program