Individual
KATHERINE JAMISON FORDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10003 COURTVIEW LN STE B, CHESTERFIELD, VA 23832-6682
(804) 898-3800
Mailing address
10003 COURTVIEW LN STE B, CHESTERFIELD, VA 23832-6682
(804) 898-3800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904012384
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, BOARD OF SOCIAL WORK
VA
Enumeration date
06/09/2021
Last updated
02/11/2025
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