Healthcare Provider Details

I. General information

NPI: 1043134810
Provider Name (Legal Business Name): CATHERINE MARJORIE FISH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 P ST NW STE 710
WASHINGTON DC
20036-6917
US

IV. Provider business mailing address

5604 32ND ST NW
WASHINGTON DC
20015-1623
US

V. Phone/Fax

Practice location:
  • Phone: 202-768-7464
  • Fax:
Mailing address:
  • Phone: 253-820-8810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG200004379
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: