Provider Demographics
NPI:1346819117
Name:MCKOY, KATHERINE (LCSWA)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:MCKOY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E WOODCROFT PKWY APT 1322
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8272
Mailing Address - Country:US
Mailing Address - Phone:980-365-9079
Mailing Address - Fax:
Practice Address - Street 1:5315 HIGHGATE DR STE 102
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6623
Practice Address - Country:US
Practice Address - Phone:919-709-7307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0162751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical