Provider Demographics
NPI:1992907042
Name:SIBERT, CATHERINE L (MSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:L
Last Name:SIBERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4702
Mailing Address - Country:US
Mailing Address - Phone:541-513-1971
Mailing Address - Fax:
Practice Address - Street 1:3225 WILLAMETTE ST
Practice Address - Street 2:SUITE #3
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3309
Practice Address - Country:US
Practice Address - Phone:541-513-1971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical