Basic Information
Provider Information
NPI: 1508901109
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CATON
FirstName: RICHARD
MiddleName: J
NamePrefix:  
NameSuffix: II
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14014 STATE ROUTE 31
Address2:  
City: ALBION
State: NY
PostalCode: 144119301
CountryCode: US
TelephoneNumber: 5855897066
FaxNumber:  
Practice Location
Address1: 14014 STATE ROUTE 31
Address2:  
City: ALBION
State: NY
PostalCode: 144119301
CountryCode: US
TelephoneNumber: 5855897066
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/21/2007
LastUpdateDate: 11/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X076581-1NYY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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