Provider Demographics
NPI:1609262708
Name:MCCARTHY, JUDYANN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JUDYANN
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 BENSON ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1324
Mailing Address - Country:US
Mailing Address - Phone:856-964-1990
Mailing Address - Fax:856-964-0606
Practice Address - Street 1:560 BENSON ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1324
Practice Address - Country:US
Practice Address - Phone:856-964-1990
Practice Address - Fax:856-964-0606
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052898001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical