Provider Demographics
NPI:1487606448
Name:HOLMAN, CATHERINE EMILY (LICSW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:EMILY
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:EMILY
Other - Last Name:GERARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:23 CAMERON AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1140
Mailing Address - Country:US
Mailing Address - Phone:617-970-6742
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:SOCIAL WORK DEPARTMENT FARLEY 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:857-218-4649
Practice Address - Fax:617-730-0316
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1120731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical