Provider Demographics
NPI:1316764277
Name:MCCARTHER, AMECIA (LMSW)
Entity type:Individual
Prefix:
First Name:AMECIA
Middle Name:
Last Name:MCCARTHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12410 CANTRELL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-0038
Mailing Address - Country:US
Mailing Address - Phone:501-414-0111
Mailing Address - Fax:501-222-1309
Practice Address - Street 1:12410 CANTRELL RD STE 202
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-0038
Practice Address - Country:US
Practice Address - Phone:501-414-0111
Practice Address - Fax:501-222-1309
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR12562-M1041C0700X
TX1108841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical