Provider Demographics
NPI:1013997907
Name:MCMURRAY, RODNEY HUGH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:HUGH
Last Name:MCMURRAY
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:PO BOX 1692
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-1692
Mailing Address - Country:US
Mailing Address - Phone:276-889-0425
Mailing Address - Fax:276-889-5135
Practice Address - Street 1:RR 1
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266-9801
Practice Address - Country:US
Practice Address - Phone:276-889-0425
Practice Address - Fax:276-889-5135
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040030571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8912670Medicaid
VA5-15305Medicare UPIN