Individual
MS. CAROLYN MINTON MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC
Contact information
Practice address
201 BRYSON AVE, STATEN ISLAND, NY 10314-1922
(917) 270-1917
(718) 370-2150
Mailing address
337 MILTON AVE, STATEN ISLAND, NY 10306-5615
(718) 351-8544
(718) 370-2150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO52394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007856264
AETNA PIN
NY
01
—
187588P
HIP 56432908
NY
01
—
2700983
MHN PROVIDER ID
—
Enumeration date
09/13/2006
Last updated
07/08/2007
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