Provider Demographics
NPI:1629803416
Name:RICE, KATHARINE (LCSWA, MSW)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:LCSWA, MSW
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSWA, MSW
Mailing Address - Street 1:3326 DURHAM CHAPEL HILL BLVD STE 120B
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6246
Mailing Address - Country:US
Mailing Address - Phone:919-719-8344
Mailing Address - Fax:
Practice Address - Street 1:3326 DURHAM CHAPEL HILL BLVD STE 120B
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6246
Practice Address - Country:US
Practice Address - Phone:919-719-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0206941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical