Provider Demographics
NPI:1417370743
Name:MCCABE, JULIE (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 NUTE RD
Mailing Address - Street 2:
Mailing Address - City:MADBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03823-7512
Mailing Address - Country:US
Mailing Address - Phone:603-969-0826
Mailing Address - Fax:
Practice Address - Street 1:22 NUTE RD
Practice Address - Street 2:
Practice Address - City:MADBURY
Practice Address - State:NH
Practice Address - Zip Code:03823-7512
Practice Address - Country:US
Practice Address - Phone:603-969-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1724101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health