Doctor Name: | MR. DANIEL KELLY MCCABE |
NPI Number: | 1275778755 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 1715 11th St Los Osos, CA - 934022238 |
Business Phone Number: | 8055285635 |
Business Fax Number: | 8055285635 |
Mailing Address: | 1715 11th St, LOS OSOS |
State: | CA |
Postal Code: | 934022238 |
Phone Number: | 8055285635 |
Fax Number: | 8055285635 |
NPI Enumeration Date: | 12/11/2008 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |