Provider Demographics
NPI:1669298220
Name:HENRI, KATHERINE GRACE (LMSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:GRACE
Last Name:HENRI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 SKINNERS FALLS RD
Mailing Address - Street 2:
Mailing Address - City:NARROWSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12764-6116
Mailing Address - Country:US
Mailing Address - Phone:347-416-3944
Mailing Address - Fax:
Practice Address - Street 1:140 PINE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4948
Practice Address - Country:US
Practice Address - Phone:844-434-2778
Practice Address - Fax:845-383-1267
Is Sole Proprietor?:No
Enumeration Date:2024-11-28
Last Update Date:2024-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1187621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical