Active NPI
Mayte Redcay, LCSW
- Clinical Social Worker
- Lancaster, PA
National Provider Identifier
1144624149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019492
- Practice address
- 2148 Embassy Dr
Lancaster, PA 17603-2385 - Phone
- (717) 480-0941
- NPI assigned
- Oct 20, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00229000 | NJ | |
| Mental Health Counselor | 101YM0800X | 44SC05711100 | NJ | |
| School Social Worker | 1041S0200X | 953352 | NJ | |
| Clinical Social Worker | 1041C0700X | CW019492 | PA | Primary |
Addresses
Primary practice location
2148 Embassy Dr
Lancaster, PA 17603-2385
Mailing address
2148 Embassy Dr
Lancaster, PA 17603-2385
Phone (717) 480-0941
Other practice location 1
1 Alpha Dr
Elizabethtown, PA 17022-2298
Phone (717) 480-0941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4144007 | Medicaid | NJ |
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 |
|---|---|---|---|
| 37LC00229000 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05711100 | NJ | MD | Mental Health Counselor |
| CW019492 | PA | MD | Clinical Social Worker |
| 953352 | NJ | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144624149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2148 EMBASSY DR",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032385",
"telephone_number": "717-480-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2148 EMBASSY DR",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032385",
"telephone_number": "717-480-0941"
}
],
"practiceLocations": [
{
"address_1": "1 Alpha Dr",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "PA",
"postal_code": "170222298",
"country_code": "US",
"telephone_number": "717-480-0941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDCAY",
"first_name": "MAYTE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00229000",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SC05711100",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NJ",
"license": "953352",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4144007",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.