Provider Demographics
NPI:1396240404
Name:CAFIERO, KATHLEEN JACQUELINE (ACSW)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JACQUELINE
Last Name:CAFIERO
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71175 AURORA RD
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92241-7631
Mailing Address - Country:US
Mailing Address - Phone:760-251-8858
Mailing Address - Fax:760-329-8889
Practice Address - Street 1:71175 AURORA RD
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92241
Practice Address - Country:US
Practice Address - Phone:714-588-4663
Practice Address - Fax:760-329-8889
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104527104100000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker