Sam Edward McKay III, MSW/LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5819 Issued in LA

Practice address

6520 Lauren Dr
Slidell, LA 70460-3951

Phone

(985) 646-2504

NPI assigned

Jul 9, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1083979777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 LAUREN DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603951",
            "telephone_number": "985-646-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 LAUREN DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603951",
            "telephone_number": "985-646-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "SAM",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSW/LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Odonnell McGaurn, PA-C
• Ashley Webb McGinnis, FNP-C
• Natasha McGlothen, CPT, INSTUCTOR, DOT
• Ashley McGuffee, LPC
• Sarah S. McGuire, APRN, FNP-BC
• Hyacinth C McKee, DBH, LCSW
• Andrew David McKernan
• Selina Marie McKinley
• Racquel Rene McKinnis
• Latosha McKnight -Ayro

• Clinical Social Worker in Slidell, LA
• Providers in Slidell, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.