Active NPIIndividual providerSole proprietor

Kathleen Mccarthy, LICSW

Social Worker, Clinical in Lake Elmore, Vermont

NPI Number1295209120
Practice location
279 Nelson RD, Lake Elmore, VT 05657
Fax
—
Last updated
November 18, 2020

Kathleen Mccarthy is a Social Worker, Clinical based in Lake Elmore, VT. Kathleen Mccarthy practices in Lake Elmore, VT and has the professional credentials of LICSW. The NPI Number for Kathleen Mccarthy is 1295209120 and holds a License No. 089.0112531 (VT). The current practice location address for Kathleen Mccarthy is 279 Nelson RD, Lake Elmore, VT 05657 and can be reached out via phone at 774-364-2731.

Provider Profile Details

NPI Number
1295209120
Provider Name
Kathleen Mccarthy
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
279 Nelson RD, Lake Elmore, VT 05657
Phone Number
774-364-2731
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 14, 2019
Last Update Date
November 18, 2020
Certification Date
September 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
279 Nelson RD
Lake Elmore, VT 05657
State
Vermont
Zip
05657
Phone Number
774-364-2731
Lake Elmore, VT 05657Get directions →

Provider Business Mailing Address Details

Address
Po Box 66
Lake Elmore, VT 05657-0066
City
Lake Elmore
State
VT
Zip
05657-0066
Phone Number
774-364-2731

License Information

License Number (1)
089.0112531
License State (1)
VT
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
089.0112531
License State (2)
VT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen Mccarthy, LICSW?

The NPI number of Kathleen Mccarthy, LICSW is 1295209120. It was assigned on January 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Kathleen Mccarthy, LICSW?

Kathleen Mccarthy, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0112531.

Where does Kathleen Mccarthy, LICSW practice?

The practice location is 279 Nelson RD, Lake Elmore, VT 05657. The office can be reached at 774-364-2731 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295209120 directly on the NPPES registry website.

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