NPI 1104009000

Carmen Bonita McCoy, LCSW

Practitioner Clinical Social Worker Michigan City, IN

Practice location

Address: 710 Franklin St, Michigan City, IN 46360-3563
Phone: (219) 872-6200
Fax: (219) 879-2915

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34003386A (IN)

Other Social Worker providers in Indiana →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LSW0000004647 (TN)

Registry record

NPI: 1104009000
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2007
Record last updated: 30 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.