Provider Demographics
NPI:1073830691
Name:MCCARTHY, SARA JANE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:JANE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:JANE
Other - Last Name:BUSKIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:10773 ROUND LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MECOSTA
Mailing Address - State:MI
Mailing Address - Zip Code:49332-9794
Mailing Address - Country:US
Mailing Address - Phone:616-824-0275
Mailing Address - Fax:
Practice Address - Street 1:301 S CRAPO ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2941
Practice Address - Country:US
Practice Address - Phone:989-330-7213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801091161101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health