Provider Demographics
NPI:1255425005
Name:MCCABE, MAUREEN M (LCSW)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:M
Last Name:MCCABE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:MAZUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2250 N CRAYCROFT RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2802
Mailing Address - Country:US
Mailing Address - Phone:520-546-4458
Mailing Address - Fax:520-546-4494
Practice Address - Street 1:2250 N CRAYCROFT RD
Practice Address - Street 2:SUITE 250
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2802
Practice Address - Country:US
Practice Address - Phone:520-546-4458
Practice Address - Fax:520-546-4494
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLSCW-104501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00046955OtherRAILROAD
AZ761389OtherAHCCCS
AZ761389OtherAHCCCS
ASS12165Medicare UPIN