Provider Demographics
NPI:1972565141
Name:CATHEY, JUDITH M (LCSW)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:M
Last Name:CATHEY
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 1:9228 GEORGE WASHINGTON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-4162
Mailing Address - Country:US
Mailing Address - Phone:804-693-5068
Mailing Address - Fax:804-693-7407
Practice Address - Street 1:9228 GEORGE WASHINGTON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4162
Practice Address - Country:US
Practice Address - Phone:804-693-5068
Practice Address - Fax:804-693-7407
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040040281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA324686OtherTRICARE
VA7463192OtherAETNA
VA004945115Medicaid
VAO89470OtherSOUTHERN HEALTH
VA415465OtherVALUE OPTIONS
VA255023000OtherMAGELLAN
VAO89470Medicaid
VA451486OtherHEALTHKEEPERS
VA451486Medicaid
VA800002513Medicare ID - Type UnspecifiedMEDICARE
VA004945115Medicaid