Abby Jane McCarthy, LCSW

Individual provider Active NPI Clinical Social Worker · El Paso, IL

NPI 1164524831 · NPPES record last updated May 24, 2017

Key facts

NPI
1164524831
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149013602 (IL)
Practice address
600 S Fayette St Ste 4
El Paso, IL 61738-1478
Phone
(309) 212-3342
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149013602ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McCarthy Counseling Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149013602 IL Yes

Addresses

Primary practice location

600 S Fayette St Ste 4
El Paso, IL 61738-1478

Mailing address

2401 County Road 1200 N
El Paso, IL 61738-9277
Phone (309) 212-3342

Other providers in El Paso, IL

All providers in El Paso, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.