Provider Demographics
NPI:1144620808
Name:MCGARRY, MAURA KATE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MAURA
Middle Name:KATE
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 W TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007-2412
Mailing Address - Country:US
Mailing Address - Phone:520-709-0912
Mailing Address - Fax:
Practice Address - Street 1:1602 W TAYLOR ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007-2412
Practice Address - Country:US
Practice Address - Phone:520-709-0912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-01
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-14180104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker