Provider Demographics
NPI:1013288976
Name:MCCARTHY, MOIRA M (MSW)
Entity Type:Individual
Prefix:MS
First Name:MOIRA
Middle Name:M
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 1:184 PLEASANT VALLEY ST.
Mailing Address - Street 2:STE. 204B
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844
Mailing Address - Country:US
Mailing Address - Phone:978-891-2261
Mailing Address - Fax:978-372-4679
Practice Address - Street 1:184 PLEASANT VALLEY ST.
Practice Address - Street 2:STE. 204B
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844
Practice Address - Country:US
Practice Address - Phone:978-891-2261
Practice Address - Fax:978-372-4679
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA756 LADC1101YA0400X
MA10232261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)