Provider Demographics
NPI:1568228880
Name:MCCARTHY, TERENCE (LADC, LMSW)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:LADC, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RIMMON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-2804
Mailing Address - Country:US
Mailing Address - Phone:267-258-0700
Mailing Address - Fax:
Practice Address - Street 1:22 RIMMON RD
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-2804
Practice Address - Country:US
Practice Address - Phone:267-258-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1518101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty