Provider Demographics
NPI:1427077262
Name:MCCAIG, DAN F (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAN
Middle Name:F
Last Name:MCCAIG
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 MEMORIAL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-2043
Mailing Address - Country:US
Mailing Address - Phone:903-891-3831
Mailing Address - Fax:903-337-0526
Practice Address - Street 1:1105 MEMORIAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-2043
Practice Address - Country:US
Practice Address - Phone:903-891-3831
Practice Address - Fax:903-337-0526
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX064267001Medicaid
TX064267001Medicaid