Active NPI
Joyce Mary Ray, LMSW
- Social Worker
- Wynne, AR
National Provider Identifier
1013200724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7794M
- Practice address
- 1718 Falls Blvd N
Wynne, AR 72396-4022 - Phone
- (870) 238-4014
- Fax
- (870) 238-4231
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7405 | KS | |
| Social Worker | 104100000X | 7794M | AR | Primary |
Addresses
Primary practice location
1718 Falls Blvd N
Wynne, AR 72396-4022
Mailing address
703 Calvin Avery Dr
West Memphis, AR 72301-6501
Phone (870) 732-1878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7794M | AR | MD | Social Worker |
| 7405 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1013200724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 CALVIN AVERY DR",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723016501",
"telephone_number": "870-732-1878",
"fax_number": "870-702-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 FALLS BLVD N",
"city": "WYNNE",
"state": "AR",
"postal_code": "723964022",
"telephone_number": "870-238-4014",
"fax_number": "870-238-4231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JOYCE",
"middle_name": "MARY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7405",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "7794M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynne, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.