Provider Demographics
NPI:1013639152
Name:MCCRAY, JOE-LOUIS (LMSW)
Entity Type:Individual
Prefix:
First Name:JOE-LOUIS
Middle Name:
Last Name:MCCRAY
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1284 E 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2309
Mailing Address - Country:US
Mailing Address - Phone:347-522-3081
Mailing Address - Fax:
Practice Address - Street 1:224 W 35TH ST FL 12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2532
Practice Address - Country:US
Practice Address - Phone:929-266-5737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102052-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health