Healthcare Provider Details

I. General information

NPI: 1780398115
Provider Name (Legal Business Name): CATHERINE KLEN MCQUADE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N 35TH ST STE B
MOREHEAD CITY NC
28557-3183
US

IV. Provider business mailing address

423 MEETING ST
BEAUFORT NC
28516-2442
US

V. Phone/Fax

Practice location:
  • Phone: 470-662-7495
  • Fax:
Mailing address:
  • Phone: 404-944-4135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW010057
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC019963
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: