Provider Demographics
NPI:1922164151
Name:MCCARTHY, PAULA I (MSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:I
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 MOUNTAIN AVE
Mailing Address - Street 2:SUITE 306B
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1737
Mailing Address - Country:US
Mailing Address - Phone:973-376-4977
Mailing Address - Fax:908-522-1325
Practice Address - Street 1:140 MOUNTAIN AVE
Practice Address - Street 2:SUITE 306B
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1737
Practice Address - Country:US
Practice Address - Phone:973-376-4977
Practice Address - Fax:908-522-1325
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002859001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical