Individual
MS. KATHLEEN ANN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C, LCSW
Contact information
Practice address
26084 GOVERNOR STOCKLEY RD, GEORGETOWN, DE 19947-2566
(302) 855-9833
(302) 351-3984
Mailing address
26084 GOVERNOR STOCKLEY RD, GEORGETOWN, DE 19947-2566
(302) 855-9833
(302) 351-3984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10854
MD
1041C0700X
Clinical Social Worker
Primary
Q1-0000714
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035633
—
DE
01
—
247328
COMPSYCH
DE
01
—
2637102000
MAGELLAN
DE
Enumeration date
10/15/2006
Last updated
07/08/2007
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