Healthcare Provider Details

I. General information

NPI: 1497879894
Provider Name (Legal Business Name): KATE SPACHER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 PEARL ST
MONTEREY CA
93940-3070
US

IV. Provider business mailing address

PO BOX 3222
MONTEREY CA
93942-3222
US

V. Phone/Fax

Practice location:
  • Phone: 831-646-2220
  • Fax: 831-649-1581
Mailing address:
  • Phone: 831-646-2220
  • Fax: 831-649-1581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS14144
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: