Provider Demographics
NPI:1821291519
Name:MCCARTY, HEIDI LYNETTE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:LYNETTE
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:HEIDI
Other - Middle Name:LYNETTE
Other - Last Name:SHANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:856 ROCKHOUSE FORK RD
Mailing Address - Street 2:
Mailing Address - City:SALYERSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41465-9489
Mailing Address - Country:US
Mailing Address - Phone:606-367-0745
Mailing Address - Fax:
Practice Address - Street 1:311 N ARNOLD AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1279
Practice Address - Country:US
Practice Address - Phone:606-889-1724
Practice Address - Fax:606-889-1727
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker