Provider Demographics
NPI:1588186779
Name:MECCA-MCCLORY, CHRISTINA DAWN (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DAWN
Last Name:MECCA-MCCLORY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:DAWN
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:JOSHUA
Mailing Address - State:TX
Mailing Address - Zip Code:76058-2815
Mailing Address - Country:US
Mailing Address - Phone:817-666-5369
Mailing Address - Fax:
Practice Address - Street 1:531 QUEEN ANNE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4521
Practice Address - Country:US
Practice Address - Phone:176-665-3698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034001041C0700X
WALW616605541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical