Provider Demographics
NPI:1588174791
Name:MCGRATH, MICHELLE LYNN (LCSW-C, LICSW)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LYNN
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 KINGSBURY DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4260
Mailing Address - Country:US
Mailing Address - Phone:301-275-0712
Mailing Address - Fax:240-331-0495
Practice Address - Street 1:9201 KINGSBURY DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4260
Practice Address - Country:US
Practice Address - Phone:301-275-0712
Practice Address - Fax:240-331-0495
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106931041C0700X
DCLC500802401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty