Provider Demographics
NPI:1356376529
Name:MCCARTHY, ISABEL JOAN (MSW)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:JOAN
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 1:3095 YANCY DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-3626
Mailing Address - Country:US
Mailing Address - Phone:408-460-2535
Mailing Address - Fax:408-238-3545
Practice Address - Street 1:3095 YANCY DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-3626
Practice Address - Country:US
Practice Address - Phone:408-238-6320
Practice Address - Fax:408-238-3545
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC15453106H00000X
CALCS75611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist