Individual provider Active NPI

Kerry McRae, MSW

  • Clinical Social Worker
  • Halifax, MA
National Provider Identifier
1659829018
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117898 Issued in MA
Practice address
314 Elm St
Halifax, MA 02338-1214
Phone
(913) 298-2625
Fax
(913) 298-2018
NPI assigned
Sep 14, 2016
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MO
Clinical Social Worker 1041C0700X 117898 MA Primary

Addresses

Primary practice location

314 Elm St
Halifax, MA 02338-1214

Mailing address

PO Box 9
Halifax, MA 02338-0009
Phone (913) 298-2625

Other practice location 1

8016 State Line Rd Ste 205
Prairie Village, KS 66208-3713
Phone (913) 298-2625

Other practice location 2

2900 SW 13th St
Lees Summit, MO 64081-3800
Phone (816) 516-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223002536 MA Practitioner - Clinical Social Worker 8325335482 Practice locations: Halifax, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

314 Elm St
Halifax, MA 02338-1214
Phone (913) 298-2625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5025KSMDSports Physician Chiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1659829018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "HALIFAX",
            "state": "MA",
            "postal_code": "023380009",
            "telephone_number": "913-298-2625",
            "fax_number": "913-298-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ELM ST",
            "city": "HALIFAX",
            "state": "MA",
            "postal_code": "023381214",
            "telephone_number": "913-298-2625",
            "fax_number": "913-298-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8016 State Line Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662083713",
            "country_code": "US",
            "telephone_number": "913-298-2625",
            "fax_number": "913-298-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 SW 13th St",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640813800",
            "country_code": "US",
            "telephone_number": "816-516-7114",
            "fax_number": "866-633-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "KERRY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halifax, MA

Sources for this page

Verify at the official NPI Registry.