Healthcare Provider Details

I. General information

NPI: 1558839134
Provider Name (Legal Business Name): SHEILA MCCARTHY-LOATMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MAXWELL DR # 1080
CLIFTON PARK NY
12065-2920
US

IV. Provider business mailing address

600 PARK AVE
MECHANICVILLE NY
12118-2032
US

V. Phone/Fax

Practice location:
  • Phone: 518-288-8587
  • Fax:
Mailing address:
  • Phone: 518-288-8587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number096999-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: