Provider Demographics
NPI:1528184934
Name:MCCARTNEY, CARA M (LICSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:M
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:M
Other - Last Name:MCCARTNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:MAMC 9040 REID ST
Mailing Address - Street 2:ATTN: MCHJ-QCR
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:253-968-2252
Mailing Address - Fax:253-968-3278
Practice Address - Street 1:MAMC 9040 REID ST
Practice Address - Street 2:ATTN: MCHJ-QCR
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-2252
Practice Address - Fax:253-968-3278
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI009091041C0700X
WALW600263701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical