Individual
JACQUELINE NICOLE MCCARTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7998
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7998
TN STATE LICENSURE
—
Enumeration date
07/19/2019
Last updated
04/13/2023
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