MEDICARE: CATHERINE KLEN MCQUADE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW010057	GA
2	1041C0700X	Clinical Social Worker	C019963	NC

General Provider Information

NPI Number	:	1780398115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE KLEN MCQUADE LCSW

Provider Business Mailing Address
First Line	:	423 MEETING ST
Second Line	:
City	:	BEAUFORT
State	:	NC
Zip	:	28516-2442
Country	:	US
Telephone Number	:	404-944-4135
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 N 35TH ST STE B
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-3183
Country	:	US
Telephone Number	:	470-662-7495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	05/11/2026

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