Provider Demographics
NPI:1770127094
Name:MCCORRY, PATRICK M (LCSW)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:M
Last Name:MCCORRY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 N COUNTY HIGHWAY 393 UNIT 7
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-5349
Mailing Address - Country:US
Mailing Address - Phone:850-359-6444
Mailing Address - Fax:850-502-8091
Practice Address - Street 1:156 N COUNTY HIGHWAY 393 UNIT 7
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-5349
Practice Address - Country:US
Practice Address - Phone:850-359-6444
Practice Address - Fax:850-502-8091
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA186481041C0700X
TX1141201041C0700X
FLSW187161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical