Provider Demographics
NPI:1881457455
Name:MCGOWAN, CARINGTON (LMSW)
Entity type:Individual
Prefix:
First Name:CARINGTON
Middle Name:
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 CATES AVE APT 2W
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-2333
Mailing Address - Country:US
Mailing Address - Phone:314-641-9008
Mailing Address - Fax:
Practice Address - Street 1:5804 CATES AVE APT 2W
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-2333
Practice Address - Country:US
Practice Address - Phone:314-641-9008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022049005104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker