Active NPI
Courtney Lyn McCarthy, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1376820928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02358
- Practice address
- 146 West River Street
3Rd Floor
Providence, RI 02904 - Phone
- (401) 793-5700
- Fax
- (401) 793-7801
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02358 | RI | Primary |
Addresses
Primary practice location
146 West River Street
3Rd Floor
Providence, RI 02904
Mailing address
146 West River Street
3Rd Floor
Providence, RI 02904
Phone (401) 793-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1376820928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 WEST RIVER STREET",
"address_2": "3RD FLOOR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-793-5700",
"fax_number": "401-793-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 WEST RIVER STREET",
"address_2": "3RD FLOOR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-793-5700",
"fax_number": "401-793-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "COURTNEY",
"middle_name": "LYN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.