Kathryn D Ray, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00943913 Issued in WV

Legal business name

KATHRYN D RAY, PLLC

Practice address

113 W Liberty St
Room 208
Charles Town, WV 25414-1547

Phone

(304) 707-6170

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Kathryn D Ray, LICSW

Title

Owner

Phone

(304) 707-6170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1609325083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CLOVERDALE RD.",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "25414",
            "telephone_number": "304-707-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W LIBERTY ST",
            "address_2": "ROOM 208",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141547",
            "telephone_number": "304-707-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN D RAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-707-6170",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Johnson
• Joann Jones
• Lauren Jones
• Barbara S. Joran, RN
• George Michael Kacsuta
• Rajvinder NMN Kaur
• Christina Keller
• Alison Kelley
• Erin Margaret Kelly, RDN
• Kema Health Services

• All providers in Charles Town, WV
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.