Healthcare Provider Details

I. General information

NPI: 1609237452
Provider Name (Legal Business Name): SHIRKA MCCARTHY LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 03/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 BUNKER HILL RD NE
WASHINGTON DC
20017-3026
US

IV. Provider business mailing address

1731 BUNKER HILL RD NE
WASHINGTON DC
20017-3026
US

V. Phone/Fax

Practice location:
  • Phone: 202-836-7776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG50081360
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: