Provider Demographics
NPI:1558040352
Name:MCCARTY, ABIGAIL (LCSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 W ELFINDALE ST STE B
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-1295
Mailing Address - Country:US
Mailing Address - Phone:417-874-1942
Mailing Address - Fax:
Practice Address - Street 1:1721 W ELFINDALE ST STE B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-1295
Practice Address - Country:US
Practice Address - Phone:417-874-1942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical