Carlos BP McCray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93140 Issued in CA

Practice address

525 Technology CT Ste 105
Riverside, CA 92507-2181

Phone

(951) 686-8500

NPI assigned

Oct 26, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Healmatic Group Practice a Licensed Clinical Social Work Corporation

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1093453912
  NPD (past)
• New Entra Casa Corporation

  dba New Entra Casa

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1114411386
  NPD (past)
• Olive Crest

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1215418165
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871772830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY CT STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072181",
            "telephone_number": "951-686-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY CT STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072181",
            "telephone_number": "951-686-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4238 El Cajon Blvd Ste 226",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921051230",
            "country_code": "US",
            "telephone_number": "619-771-4218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "CARLOS",
        "middle_name": "BP",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry McCoy, LMFT
• Kierra McCoy
• Nichole McCoy
• Cameron McCracken-Payo
• Danisha Hesita McCrary
• James McCrea
• Laurel Ann McCrea
• Dominique Micole McCree
• Carli McCulloch, LCSW
• D'Nai McCullough

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.