Lisa Tucker Ray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002450 Issued in VA

Practice address

6842 Elm St
Suite 206
MC Lean, VA 22101-3891

Phone

(703) 400-7015

NPI assigned

Apr 23, 2010

Last updated

Oct 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1912224437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 RILEY ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463308",
            "telephone_number": "703-400-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST",
            "address_2": "SUITE 206",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013891",
            "telephone_number": "703-400-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "LISA",
        "middle_name": "TUCKER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002450",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Chialy Hang Smith Ranade, PHD
• Brittany Lyn Randalow, BA, RBT
• Heather Nicole Rankin
• Michael Thomas Rapp, M.D.
• Jason Mark Rashkin, M.D.
• Matthew Raymond, LCSW
• Ramin Razavi, DMD
• Vanessa June Francisco Real, NP
• David Alan Reed, O.D.
• Janea C Reed, LPC

• Clinical Social Worker in McLean, VA
• Providers in McLean, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.