Provider Demographics
NPI:1316908528
Name:MCCANN, MARY M (LCSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:M
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:9097 S BEAR MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-2272
Mailing Address - Country:US
Mailing Address - Phone:303-683-4798
Mailing Address - Fax:303-866-7481
Practice Address - Street 1:4055 S LOWELL BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3120
Practice Address - Country:US
Practice Address - Phone:303-866-7488
Practice Address - Fax:303-866-7481
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO9914701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical