Kia R McCray, DSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW136522 Issued in PA

Practice address

502 W 7TH St Ste 100
Erie, PA 16502-1333

Phone

(474) 484-0714

NPI assigned

Sep 24, 2019

Reactivated

Feb 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1659922367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 7TH ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "474-484-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 7TH ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "474-484-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "KIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "deactivation_date": "2020-03-02",
        "reactivation_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW136522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Jo McClure-Maring, CRNP
• Bethenie McCommons
• Jessica McConnell, M.ED
• Sara McCormick
• Kailyn McCoy, RN
• Mary E McCullough, PT
• Jihan McCullum
• Kenneth Grant McCurdy, PH.D.
• Meghan Lynn McCurdy, OTR
• Rita M McCutcheon, NP

• Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.