Provider Demographics
NPI:1851429153
Name:MCCART, DEBORAH JUNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JUNE
Last Name:MCCART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 DIVISION DR
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-5789
Mailing Address - Country:US
Mailing Address - Phone:417-257-9152
Mailing Address - Fax:417-257-9162
Practice Address - Street 1:3411 DIVISION DR
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-5789
Practice Address - Country:US
Practice Address - Phone:417-257-9152
Practice Address - Fax:417-257-9162
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060383821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR166011719Medicaid
191070OtherBLUE CROSS BLUE SHIELD
2646OtherEAP IMPACT
11795631OtherCAQH
891245OtherHEALTHLINK PPO
MO497020206Medicaid