Provider Demographics
NPI:1053320812
Name:MCKEE, STEPHEN DRAKE (MSSW)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:DRAKE
Last Name:MCKEE
Suffix:
Gender:M
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 S CAPITAL OF TEXAS HWY
Mailing Address - Street 2:BUILDING A, SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6445
Mailing Address - Country:US
Mailing Address - Phone:512-328-5688
Mailing Address - Fax:512-328-5699
Practice Address - Street 1:1101 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:BUILDING A, SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6445
Practice Address - Country:US
Practice Address - Phone:512-328-5688
Practice Address - Fax:512-328-5699
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX069801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0071-GTOtherBLUE CROSS/BLUE SHIELD ID