Healthcare Provider Details

I. General information

NPI: 1427610344
Provider Name (Legal Business Name): DAWN MARIE MCCARTHY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 09/23/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 W HARTFORD AVE
UXBRIDGE MA
01569-1126
US

IV. Provider business mailing address

738 W HARTFORD AVE
UXBRIDGE MA
01569-1126
US

V. Phone/Fax

Practice location:
  • Phone: 202-744-6159
  • Fax:
Mailing address:
  • Phone: 202-744-6159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12166
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number480403
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: