Provider Demographics
NPI:1538472097
Name:MCRAE, RAINA COLE (LCSW, CADC I)
Entity Type:Individual
Prefix:MS
First Name:RAINA
Middle Name:COLE
Last Name:MCRAE
Suffix:
Gender:F
Credentials:LCSW, CADC I
Other - Prefix:MRS
Other - First Name:RAINA
Other - Middle Name:LIN
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CADC I
Mailing Address - Street 1:2646 NW CHARDONNAY DR
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-2037
Mailing Address - Country:US
Mailing Address - Phone:503-719-2149
Mailing Address - Fax:
Practice Address - Street 1:2646 NW CHARDONNAY DR
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-2037
Practice Address - Country:US
Practice Address - Phone:971-261-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL5457101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health