Individual provider Active NPI

Bruce Douglas Korray, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1598974750
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7013 Issued in FL
Practice address
New Horizons Community Mental Health Center
1469 NW 36 Street
Miami, FL 33142
Phone
(305) 635-7444
NPI assigned
May 22, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7013 FL Primary

Addresses

Primary practice location

New Horizons Community Mental Health Center
1469 NW 36 Street
Miami, FL 33142

Mailing address

2318 Prairie Ave
Miami Beach, FL 33140-3404
Phone (305) 672-8660

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

LicenseStateTypeSpecialty
SW7013FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598974750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 PRAIRIE AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403404",
            "telephone_number": "305-672-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW HORIZONS COMMUNITY MENTAL HEALTH CENTER",
            "address_2": "1469 NW 36 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33142",
            "telephone_number": "305-635-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORRAY",
        "first_name": "BRUCE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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

Verify at the official NPI Registry.