Kenneth Wayne McCrae, LCSW,CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

073069-1 Issued in NY

Practice address

415 Stratford Rd Apt 7M
Brooklyn, NY 11218-5374

Phone

(718) 940-1145

NPI assigned

Mar 9, 2009

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1124269980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382347",
            "telephone_number": "718-789-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 STRATFORD RD APT 7M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185374",
            "telephone_number": "718-940-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LCSW,CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "073069-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle McCoy, RN
• Shaoba Ray McCoy, S.I.
• Sydney Lynn McCracken
• Jacqueline McCrae-Clarke
• Brenda McCrae
• Shanequa McCrae
• Anya McCray, OTD, OTR/L
• Athena McCray, B.A
• Francetta McCray, CASAC-2
• Kristi McCray

• Addiction (Substance Use Disorder) Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.