Provider Demographics
NPI:1841964756
Name:MCCARTHY, MADELINE (LMSW)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:HAYDE
Other - Last Name:JONZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 W 40TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2108
Mailing Address - Country:US
Mailing Address - Phone:410-842-6055
Mailing Address - Fax:
Practice Address - Street 1:711 W 40TH ST STE 206
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2108
Practice Address - Country:US
Practice Address - Phone:410-842-6055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD274311041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD383841200Medicaid