Active NPI
Jeffrey McKay, LCSW
- Clinical Social Worker
- Pittsboro, NC
National Provider Identifier
1104871078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003774
- Practice address
- 287 East Street
Suite 421
Pittsboro, NC 27312-8637 - Phone
- (919) 542-6393
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003774 | NC | Primary |
Addresses
Primary practice location
287 East Street
Suite 421
Pittsboro, NC 27312-8637
Mailing address
PO Box 814
Randleman, NC 27317-0814
Phone (336) 495-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106038 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003774 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Alternatives Incorporated | Clinical | Past | Accepting new patients |
| Youth Development Corporation of America | Past | Accepting new patients | |
| Freedom House Recovery Center, Inc. | Past | Accepting new patients | |
| Evergreen Behavioral Management Inc | Clinical | Past | Accepting new patients |
| Youth Development Corporation of America | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Whiteville, NC
- NPI 1790860971
Clinical
-
- Community/Behavioral Health Agency
- Chapel Hill, NC
- NPI 1548490378
-
- Clinical Social Worker
- Asheboro, NC
- NPI 1386662831
-
- Community/Behavioral Health Agency
- Pittsboro, NC
- NPI 1336280270
-
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1629023569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1104871078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 814",
"city": "RANDLEMAN",
"state": "NC",
"postal_code": "273170814",
"telephone_number": "336-495-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 EAST STREET",
"address_2": "SUITE 421",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273128637",
"telephone_number": "919-542-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "JEFFREY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106038",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.