Healthcare Provider Details

I. General information

NPI: 1285648824
Provider Name (Legal Business Name): SYLVIA LYNN MCCARTY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 HWY 62 WEST
PRINCETON KY
42445
US

IV. Provider business mailing address

PO BOX 614 607 HAMMOND PLAZA
HOPKINSVILLE KY
42241-0614
US

V. Phone/Fax

Practice location:
  • Phone: 270-365-2008
  • Fax: 270-365-2009
Mailing address:
  • Phone: 270-886-2205
  • Fax: 270-886-0392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number1508
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: