Provider Demographics
NPI:1780269738
Name:MCPADALIN, MISTIE SUE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MISTIE
Middle Name:SUE
Last Name:MCPADALIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:503 GARDEN GATE DR
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-5347
Mailing Address - Country:US
Mailing Address - Phone:540-660-0567
Mailing Address - Fax:
Practice Address - Street 1:WINCHESTER MEDICAL CENTER
Practice Address - Street 2:1840 AMHERST STREET
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-536-5191
Practice Address - Fax:540-536-3266
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040067201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical