Provider Demographics
NPI:1821628652
Name:MCRAE, KENDRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:
Last Name:MCRAE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:GLASPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1402 S CUSTER RD STE 204
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-1452
Mailing Address - Country:US
Mailing Address - Phone:469-712-9134
Mailing Address - Fax:
Practice Address - Street 1:1402 S CUSTER RD STE 204
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-1452
Practice Address - Country:US
Practice Address - Phone:469-712-9134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7539-C1041C0700X
TX1050311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical