Provider Demographics
NPI:1922439033
Name:MCCARTHY, DENISE MARIE (LISW, MT-BC, CDCA)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LISW, MT-BC, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 CONVERS AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-3008
Mailing Address - Country:US
Mailing Address - Phone:740-607-2630
Mailing Address - Fax:
Practice Address - Street 1:819 CONVERS AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3008
Practice Address - Country:US
Practice Address - Phone:740-607-2630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-29
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI16001231041C0700X
OH04061225A00000X
OH130135101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)