Provider Demographics
NPI:1366871816
Name:LONGSHAW, KATHERINE (MA, LCAS, LCMHC-QS)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LONGSHAW
Suffix:
Gender:F
Credentials:MA, LCAS, LCMHC-QS
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:WALTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3217 N MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-1552
Mailing Address - Country:US
Mailing Address - Phone:704-292-8771
Mailing Address - Fax:
Practice Address - Street 1:3217 N MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-1552
Practice Address - Country:US
Practice Address - Phone:704-292-8771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)