Active NPI
Donna Lee Ray, LCSW
- Clinical Social Worker
- Elmhurst, NY
National Provider Identifier
1568527851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 044256
- Practice address
- 80TH St and 41St Ave
Elmhurst, NY 11373-1329 - Phone
- (718) 334-3900
- Fax
- (718) 334-5958
- NPI assigned
- Dec 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R044256 | NY | |
| Clinical Social Worker | 1041C0700X | 044256 | NY | Primary |
Addresses
Primary practice location
80TH St and 41St Ave
Elmhurst, NY 11373-1329
Mailing address
79 01 Broadway
Managed Care D1 01
Elmhurst, NY 11373-1329
Phone (718) 334-1921
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 |
|---|---|---|---|
| 044256 | NY | MD | Clinical Social Worker |
| R044256 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children's Services, Inc | Current | Accepting new patients | |
| Family and Children's Service Inc | Current | Accepting new patients | |
| Shine Medical of Ca PC | Past | Accepting new patients | |
| Shine Medical Providers PC | Past | Accepting new patients |
Locations
40 North Ave
Elizabeth, NJ 07208
Phone (908) 352-7474
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Elizabeth, NJ
- NPI 1033654066
-
- Community/Behavioral Health Agency
- Elizabeth, NJ
- NPI 1548443260
-
- Psychiatry Physician
- San Jose, CA
- NPI 1942935473
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568527851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 01 BROADWAY",
"address_2": "MANAGED CARE D1 01",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-1921",
"fax_number": "718-334-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80TH ST AND 41ST AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731329",
"telephone_number": "718-334-3900",
"fax_number": "718-334-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "DONNA",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R044256",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "044256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, 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.