Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LA'DRAYA SHAMICKA MACON, LCSW, CASAC
ActiveClinical Social Worker · ROOSEVELT, NY
Registration Details
- NPI Number
- 1497020440
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2012 (14.152339422683 yrs)
- Last Updated
- May 4, 2016
- Licenses
-
083947 (NY)086013 (NY)31869 (NY)
Practice Information
- Address
-
27A WASHINGTON PLROOSEVELT, NY, 115751454Browse NY providers · Browse ZIP 11575
- Phone
- 5166237741
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Clinical Social Worker Providers in ROOSEVELT, NY
| Name | Credential | NPI |
|---|---|---|
| NOREEN MARTINI | MSW | 1699848937 |
| ELVIRA THOMPSON | MSW | 1659444974 |
| LIVIA POLISE | LCSW | 1891844205 |
| MARTHA ISABEL BRAND | LCSW, LMFT,CASAC | 1649312075 |
| SHERRY BOMZE | — | 1225162886 |
| MEREDITH DOOLEY | LCSW | 1528188000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.