Provider Demographics
NPI:1932659554
Name:MCEACHERN-MURPHY, CAROL ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANN
Last Name:MCEACHERN-MURPHY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:MCEACHERN-MURPHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:18 THREE DOG LN
Mailing Address - Street 2:
Mailing Address - City:BASS HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04653-3417
Mailing Address - Country:US
Mailing Address - Phone:207-479-2853
Mailing Address - Fax:
Practice Address - Street 1:18 THREE DOG LN
Practice Address - Street 2:
Practice Address - City:BASS HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04653-3417
Practice Address - Country:US
Practice Address - Phone:207-479-2853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC100851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical