Doctor Name: | KEVIN P MCGINLEY |
NPI Number: | 1033201322 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | LW00008272 |
Business Practice Address: | 20701 Crane Pl Ocean Park, WA - 986403110 |
Business Phone Number: | 3606424206 |
Business Fax Number: | 3606424206 |
Mailing Address: | 20701 Crane Pl, OCEAN PARK |
State: | WA |
Postal Code: | 986403110 |
Phone Number: | 3606424206 |
Fax Number: | 3606424206 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW00008272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |