Provider Demographics
NPI:1558463570
Name:MCCARTHY, LINDA S (LMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEADOW LN
Mailing Address - Street 2:P O BOX 52
Mailing Address - City:CHILMARK
Mailing Address - State:MA
Mailing Address - Zip Code:02535
Mailing Address - Country:US
Mailing Address - Phone:508-645-3467
Mailing Address - Fax:
Practice Address - Street 1:MEADOW LN
Practice Address - Street 2:
Practice Address - City:CHILMARK
Practice Address - State:MA
Practice Address - Zip Code:02535
Practice Address - Country:US
Practice Address - Phone:508-645-3467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1168101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM611198OtherBLUE CROSS/BLUE SHEILD