Philip S. McRae, PSYD, DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002939 Issued in GA

Practice address

1061 Harmon Ave.
Suite 1D03
Ft. Stewart, GA 31314-5674

Phone

(912) 435-6633

NPI assigned

Jun 11, 2010

Sex

Male

Sole proprietor

No

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1881914901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE.",
            "address_2": "SUITE 1D03",
            "city": "FT. STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE.",
            "address_2": "SUITE 1D03",
            "city": "FT. STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "PHILIP",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSYD, DCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Christopher McNerney, L.C.S.W.
• Melissa McNitt, PHARMD
• Lorraine McPherson
• Andrew Gerber McPhie, PA-C
• Rebecca Taylor McQuagge, PHARM.D.
• Willis Andrew McVay, M.D.
• Karen Elizabeth Mealer, CRNA
• Katrina Vantassel Melei, MS, RD, LDN
• Jose Enrique Melendez, MD
• April Marie Melton, LCSW-C

• Clinical Social Worker in Ft. Stewart, GA
• Providers in Ft. Stewart, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.