Individual
MS. MARY A MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 WASHINGTON ST, MONTPELIER, ID 83254-5091
(307) 413-5803
Mailing address
1011 WASHINGTON ST, MONTPELIER, ID 83254-5091
(307) 413-5803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
489
AK
1041C0700X
Clinical Social Worker
10144643-3501
UT
1041C0700X
Clinical Social Worker
1104
AK
1041C0700X
Clinical Social Worker
CSWS1104
AK
1041C0700X
Clinical Social Worker
LCSW-1101
WY
1041C0700X
Clinical Social Worker
Primary
LCSW-36300
ID
106H00000X
Marriage & Family Therapist
125
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
05
—
MH2237
—
AK
Enumeration date
10/10/2006
Last updated
06/05/2025
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