Provider Demographics
NPI:1790944619
Name:MCCRAY, JADA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JADA
Middle Name:
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:JADA
Other - Middle Name:MONQUAY
Other - Last Name:MCKENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:1001 CROMWELL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3300
Mailing Address - Country:US
Mailing Address - Phone:410-337-5523
Mailing Address - Fax:410-337-5576
Practice Address - Street 1:1001 CROMWELL BRIDGE RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3300
Practice Address - Country:US
Practice Address - Phone:410-337-5523
Practice Address - Fax:410-337-5576
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD173541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical