Mccormick, Kathleen Ann
Mccormick, Kathleen Ann is an sole proprietor health care provider with primary practice located at 26084 Governor Stockley Rd , Georgetown DE 19947-2566. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccormick, Kathleen Ann can be contacted via phone (302) 855-9833.Contact Information
Primary practice address
26084 Governor Stockley Rd
Georgetown DE 19947-2566
Phone: (302) 855-9833
Fax: (302) 351-3984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Q1-0000714 | Delaware |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10854 | Maryland |
Profile Details
| NPI number | 1568552867 |
|---|---|
| LBN Legal business name | Mccormick, Kathleen Ann |
| Credentials | MSW, LCSW-C, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568552867 | NPPES |
| Delaware | Other | 2637102000 | MAGELLAN |
| Delaware | MEDICAID | 1000035633 | MAGELLAN |
| Delaware | Other | 247328 | MAGELLAN |
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