Individual provider Active NPI

Colleen Marie McCarthy, CSWR(N.Y. 037636) MS

  • Clinical Social Worker
  • Ft Myers, FL
National Provider Identifier
1780915033
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PSW723 Issued in FL
Practice address
52 Tao CT
Ft Myers, FL 33912
Phone
(239) 333-6452
Fax
(239) 415-8780
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PSW723 FL Primary
Clinical Social Worker 1041C0700X 037636 NY

Addresses

Primary practice location

52 Tao CT
Ft Myers, FL 33912

Mailing address

52 Tao CT
Fort Myers, FL 33912
Phone (239) 333-6452

Other names 1

  • Colleen Marie McArthy Other name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PSW723FLMDClinical Social Worker
037636NYMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1780915033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TAO CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-333-6452",
            "fax_number": "239-415-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TAO CT",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-333-6452",
            "fax_number": "239-415-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "CSWR(N.Y. 037636) MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "PSW723",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MCARTHY",
            "middle_name": "MARIE",
            "credential": "LCSW(FL) PSW 723",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ft Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.