Provider Demographics
NPI:1861697500
Name:HOWARD, KATHRYN BRADLEY (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:BRADLEY
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 GATEWAY PLZ
Mailing Address - Street 2:FAMILY SERVICES OF WESTCHESTER
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4674
Mailing Address - Country:US
Mailing Address - Phone:914-937-2320
Mailing Address - Fax:914-937-3181
Practice Address - Street 1:1 GATEWAY PLZ
Practice Address - Street 2:FAMILY SERVICES OF WESTCHESTER
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4674
Practice Address - Country:US
Practice Address - Phone:914-937-2320
Practice Address - Fax:914-937-3181
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN1K621Medicare ID - Type Unspecified