Healthcare Provider Details

I. General information

NPI: 1013258532
Provider Name (Legal Business Name): CATHERINE MARSHA SYKES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HUNTER HOLMES MCGUIRE VA MEDICAL CENTER SATP 1201 BROAD ROCK BOULEVARD
RICHMOND VA
23249-0001
US

IV. Provider business mailing address

1201 BROAD ROCK BLVD HUNTER HOLMES MCGUIRE VA MEDICAL CENTER, SATP
RICHMOND VA
23249-0001
US

V. Phone/Fax

Practice location:
  • Phone: 804-675-5000
  • Fax:
Mailing address:
  • Phone: 804-675-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904007731
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: