Provider Demographics
NPI:1528345154
Name:MCCARTNEY, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MCCARTNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 E STILLWATER LNDG
Mailing Address - Street 2:#203
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-7181
Mailing Address - Country:US
Mailing Address - Phone:217-714-5479
Mailing Address - Fax:
Practice Address - Street 1:311 W WHITE ST
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-4805
Practice Address - Country:US
Practice Address - Phone:217-359-5276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker