Healthcare Provider Details

I. General information

NPI: 1770034266
Provider Name (Legal Business Name): ADAH KATHERINE REY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATE REY LCSW

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9568 KINGS CHARTER DR STE 103
ASHLAND VA
23005-7955
US

IV. Provider business mailing address

9568 KINGS CHARTER DR STE 103
ASHLAND VA
23005-7955
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904009622
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: