Provider Demographics
NPI:1881206183
Name:MCCARTHY-FUNARO, MARILYN RITA (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:RITA
Last Name:MCCARTHY-FUNARO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 SUTTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1518
Mailing Address - Country:US
Mailing Address - Phone:978-239-1494
Mailing Address - Fax:
Practice Address - Street 1:402 SUTTON ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1518
Practice Address - Country:US
Practice Address - Phone:978-239-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1022033104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker