Provider Demographics
NPI:1154703213
Name:MCGINNIS, CATHY L (LCSW-S, RPT-S)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:L
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:LCSW-S, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-4648
Mailing Address - Country:US
Mailing Address - Phone:817-475-9683
Mailing Address - Fax:
Practice Address - Street 1:713 AMHERST DR
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-4648
Practice Address - Country:US
Practice Address - Phone:817-475-9683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical