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NPI Code Detail

MEDICARE: CHRISTINA DAWN MECCA-MCCLORY LCSW

MEDICARE: CHRISTINA DAWN MECCA-MCCLORY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker103400TX
21041C0700XClinical Social WorkerLW61660554WA

General Provider Information

NPI Number : 1588186779
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA DAWN MECCA-MCCLORY LCSW
Provider Business Mailing Address
First Line : 611 E 4TH ST
Second Line :
City : JOSHUA
State : TX
Zip : 76058-2815
Country : US
Telephone Number : 817-666-5369
Fax Number :
Provider Business Practice Location Address
First Line : 531 QUEEN ANNE AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98109-4521
Country : US
Telephone Number : 176-665-3698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2017
Last Update Date : 07/30/2025

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Directions to “ CHRISTINA DAWN MECCA-MCCLORY LCSW” Practice Location

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