Provider Demographics
NPI:1093036303
Name:MCVEY, DEBRA JAMES (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:JAMES
Last Name:MCVEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1401
Mailing Address - Country:US
Mailing Address - Phone:971-371-9286
Mailing Address - Fax:718-623-6493
Practice Address - Street 1:267 MADISON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1401
Practice Address - Country:US
Practice Address - Phone:971-371-9286
Practice Address - Fax:718-623-6493
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073954-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health