Provider Demographics
NPI:1982761656
Name:ZERN, CATHERINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:ZERN
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 1:816 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-3016
Mailing Address - Country:US
Mailing Address - Phone:541-734-5437
Mailing Address - Fax:541-618-1094
Practice Address - Street 1:816 W 10TH ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-3016
Practice Address - Country:US
Practice Address - Phone:541-734-5437
Practice Address - Fax:541-618-1094
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL2342104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR825369000OtherBLUE CROSS