Provider Demographics
NPI:1740024710
Name:MCGRAW, NANCY ANN (LCSW-R)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13026 STATE HIGHWAY 97
Mailing Address - Street 2:
Mailing Address - City:LONG EDDY
Mailing Address - State:NY
Mailing Address - Zip Code:12760-4119
Mailing Address - Country:US
Mailing Address - Phone:845-701-0411
Mailing Address - Fax:
Practice Address - Street 1:13026 STATE HIGHWAY 97
Practice Address - Street 2:
Practice Address - City:LONG EDDY
Practice Address - State:NY
Practice Address - Zip Code:12760-4119
Practice Address - Country:US
Practice Address - Phone:845-701-0411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0466681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical