Provider Demographics
NPI:1225469166
Name:MCCARTHY, JOSIE (THERAPEUTIC MENTOR)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:THERAPEUTIC MENTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 MERRIMACK ST
Mailing Address - Street 2:BLDG.5
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1740
Mailing Address - Country:US
Mailing Address - Phone:508-521-2200
Mailing Address - Fax:508-580-5162
Practice Address - Street 1:360 MERRIMACK ST
Practice Address - Street 2:BLDG.5
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1740
Practice Address - Country:US
Practice Address - Phone:508-521-2200
Practice Address - Fax:508-580-5162
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker