Provider Demographics
NPI:1881922268
Name:MCCANN, COURTNEY NOELLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:NOELLE
Last Name:MCCANN
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 1:12735 FOREST RD
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-3570
Mailing Address - Country:US
Mailing Address - Phone:207-615-7338
Mailing Address - Fax:
Practice Address - Street 1:3311 OLD FOREST RD
Practice Address - Street 2:STE 103
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2935
Practice Address - Country:US
Practice Address - Phone:207-615-7338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical