Provider Demographics
NPI:1124175690
Name:MCHALE, NANCY BARNES (LCSW)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:BARNES
Last Name:MCHALE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 EAST MAIN STREET
Mailing Address - Street 2:PO BOX 592
Mailing Address - City:EAST POULTNEY
Mailing Address - State:VT
Mailing Address - Zip Code:05741-0592
Mailing Address - Country:US
Mailing Address - Phone:802-287-9038
Mailing Address - Fax:
Practice Address - Street 1:873 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAST POULTNEY
Practice Address - State:VT
Practice Address - Zip Code:05741-0592
Practice Address - Country:US
Practice Address - Phone:802-287-9038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-0001164101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health