| Kathleen Mccormick, Lcsw, Llc | |
|
26084 Governor Stockley Rd Georgetown DE 19947-2566 | |
| (302) 855-9833 | |
| (302) 351-3984 |
| Full Name | Kathleen Mccormick, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 26084 Governor Stockley Rd, Georgetown, Delaware |
| Authorized Official Name and Position | Kathleen Mccormick (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 3028559833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Mccormick, Lcsw, Llc 26084 Governor Stockley Rd Georgetown DE 19947-2566 Ph: (302) 855-9833 | Kathleen Mccormick, Lcsw, Llc 26084 Governor Stockley Rd Georgetown DE 19947-2566 Ph: (302) 855-9833 |
| NPI Number | 1205918380 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205918380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10854 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | Q1-0000714 (Delaware) | Primary |
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