Provider Demographics
NPI:1821057431
Name:MCGINNIS MCCARTHY, DEBRA M (LISW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:MCGINNIS MCCARTHY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3253 N BEND RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7610
Mailing Address - Country:US
Mailing Address - Phone:513-662-9900
Mailing Address - Fax:513-662-9902
Practice Address - Street 1:3253 N BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7610
Practice Address - Country:US
Practice Address - Phone:513-662-9900
Practice Address - Fax:513-662-9902
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI5040104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMCSW08903Medicare ID - Type Unspecified