Provider Demographics
NPI:1194917823
Name:MCGARITY, JONNA M (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:JONNA
Middle Name:M
Last Name:MCGARITY
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Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
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Mailing Address - Street 1:284 EXECUTIVE PARK DR.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1173
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:101 COLVARD ST
Practice Address - Street 2:UNIT 2
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9797
Practice Address - Country:US
Practice Address - Phone:336-246-2109
Practice Address - Fax:336-246-2287
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCC0021431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC311OtherLCAS
NCC002143OtherLCSW
NC6003781Medicaid