Healthcare Provider Details

I. General information

NPI: 1366517229
Provider Name (Legal Business Name): JANE WILSON CATHCART LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 11/29/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MARION AVENUE SUITE 5
COLD SPRING NY
10516-2930
US

IV. Provider business mailing address

54 BARRETT POND RD.
COLD SPRING NY
10516-4036
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-0899
  • Fax: 845-265-3192
Mailing address:
  • Phone: 212-420-0899
  • Fax: 845-265-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0754081
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: