Justine B McCarthy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 24775 Issued in CA

Practice address

2659 Portage Bay E Ste 9
Davis, CA 95616-3050

Phone

(530) 220-0679

Fax

(530) 219-6572

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jody McCarthy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 25, 2025 through Jun 25, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1972682524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 PORTAGE BAY E STE 9",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163050",
            "telephone_number": "530-220-0679",
            "fax_number": "530-219-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 PORTAGE BAY E STE 9",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163050",
            "telephone_number": "530-220-0679",
            "fax_number": "530-219-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JUSTINE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "MCCARTHY",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandon Maxwell
• Joanna Fox Maxwell, LMFT
• Isha Kaur Mayall, M.S
• Lynn Marie McAlister, D.O.
• Alexandra McCarthy
• Tracy H McCarthy, M.D.
• Hadassah Latresse McCormick, R.N.
• Jeffery P. McCormick, MSPT
• Annamaria McCoy, MD
• Stephen A. McCurdy, MD

• Clinical Social Worker in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.