Provider Demographics
NPI:1326083429
Name:MCKAMIE, JR., H WAYNE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:H
Middle Name:WAYNE
Last Name:MCKAMIE, JR.
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5354 LONGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-2731
Mailing Address - Country:US
Mailing Address - Phone:816-767-8762
Mailing Address - Fax:816-767-8764
Practice Address - Street 1:5354 LONGVIEW RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-2731
Practice Address - Country:US
Practice Address - Phone:816-767-8762
Practice Address - Fax:816-767-8764
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0019231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical