Provider Demographics
NPI:1811887813
Name:MCCARTHY, KAITLYN M (MSW LCSWA)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:M
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MSW LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 AVENT HL APT B10
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-8052
Mailing Address - Country:US
Mailing Address - Phone:919-538-2497
Mailing Address - Fax:
Practice Address - Street 1:7330 CHAPEL HILL RD STE 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5042
Practice Address - Country:US
Practice Address - Phone:919-726-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0222771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical