Provider Demographics
NPI:1437405818
Name:LLOYD, KATHRYNE N (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYNE
Middle Name:N
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ASH CIR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-1778
Mailing Address - Country:US
Mailing Address - Phone:304-559-6208
Mailing Address - Fax:
Practice Address - Street 1:115 ASH CIR
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-1778
Practice Address - Country:US
Practice Address - Phone:304-559-6208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2015-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVCP00944171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health