Provider Demographics
NPI:1922295369
Name:MCCARTY, MARIA (LSW, LPC, LICDC)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:LSW, LPC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 S BROWN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-3113
Mailing Address - Country:US
Mailing Address - Phone:937-890-5400
Mailing Address - Fax:937-342-4311
Practice Address - Street 1:705 S BROWN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-3113
Practice Address - Country:US
Practice Address - Phone:937-890-5400
Practice Address - Fax:937-342-4311
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1100206101YP2500X
OHS 0013594104100000X
OH071031101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker