Active NPI
Robert McRae, LCSW
- Clinical Social Worker
- Rego Park, NY
National Provider Identifier
1285695049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 024980-1
- Practice address
- Hip QMHS 97-45 QNS Blvd.
Rego Park, NY 11374 - Phone
- (718) 459-0500
- NPI assigned
- Mar 31, 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 | 024980-1 | NY | Primary |
Addresses
Primary practice location
Hip QMHS 97-45 QNS Blvd.
Rego Park, NY 11374
Mailing address
906 Webster Ave
New Rochelle, NY 10804-3533
Phone (914) 576-7189
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 |
|---|---|---|---|
| 024980-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285695049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 WEBSTER AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108043533",
"telephone_number": "914-576-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIP QMHS 97-45 QNS BLVD.",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-459-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAE",
"first_name": "ROBERT",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "024980-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.