Provider Demographics
NPI:1659422822
Name:MCNAMARA, KEVIN DEMPSEY (MSW, LISWS)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:DEMPSEY
Last Name:MCNAMARA
Suffix:
Gender:M
Credentials:MSW, LISWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ARBOR COUNSELING LLC
Mailing Address - Street 2:7251 SAWMILL RD SUITE 150
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016
Mailing Address - Country:US
Mailing Address - Phone:614-766-0161
Mailing Address - Fax:614-766-0298
Practice Address - Street 1:ARBOR COUNSELING LLC
Practice Address - Street 2:7251 SAWMILL RD SUITE 150
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:614-766-0161
Practice Address - Fax:614-766-0298
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00054581041C0700X
OHI5458104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMCSW15942Medicare PIN