Doctor Name: | MAUREEN M MCCARTY |
NPI Number: | 1457496523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 2404123 |
Business Practice Address: | 525 No Prairie St Prairie Du Chien, WI - 538210525 |
Business Phone Number: | 6083262384 |
Business Fax Number: | 6086377921 |
Mailing Address: | Po Box 206, 122 W South St VIROQUA |
State: | WI |
Postal Code: | 546650209 |
Phone Number: | 6086372511 |
Fax Number: | 6086377921 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2404123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |