Healthcare Provider Details

I. General information

NPI: 1588595672
Provider Name (Legal Business Name): NELLIE MCCARTY, LICSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5796 NE TOLO RD
BAINBRIDGE ISLAND WA
98110-3470
US

IV. Provider business mailing address

5796 NE TOLO RD
BAINBRIDGE ISLAND WA
98110-3470
US

V. Phone/Fax

Practice location:
  • Phone: 206-687-6944
  • Fax:
Mailing address:
  • Phone: 773-547-2184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NELLIE ROSE MCCARTY
Title or Position: PSYCHOTHERAPIST
Credential: MSW, LCSW, LICSW
Phone: 773-547-2184