Mercedes Ray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2036-C Issued in AR

Practice address

124 S Jackson Ste 412
Magnolia, AR 71753-3539

Phone

(870) 901-3527

Fax

(870) 901-3539

NPI assigned

Jun 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Insights Therapy and Resources

  • Community/Behavioral Health Agency
  • Magnolia, AR
  • NPI 1568911063
  NPD (past) Authorized official
• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Pine Bluff, AR
  • NPI 1457398547
  NPD (past)
• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Stuttgart, AR
  • NPI 1730334798
  NPD (past)
• United Methodist Behavioral Health System, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Magnolia, AR
  • NPI 1457598393
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972549079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S JACKSON STE 412",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533539",
            "telephone_number": "870-901-3527",
            "fax_number": "870-901-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S JACKSON STE 412",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533539",
            "telephone_number": "870-901-3527",
            "fax_number": "870-901-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Commercial Drive",
            "address_2": "B",
            "address_purpose": "LOCATION",
            "city": "Stuttgart",
            "state": "AR",
            "postal_code": "72160",
            "country_code": "US",
            "telephone_number": "870-673-1633",
            "fax_number": "870-673-1253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 E North St",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "AR",
            "postal_code": "717533120",
            "country_code": "US",
            "telephone_number": "870-234-0739",
            "fax_number": "870-234-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2036C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2036-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116378726",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawntel Marie Price, APRN
• Jeffrey Dale Prince, PD
• Professional Counseling Services of Magnolia
• Haley M Quintana
• Ricodaro Rainey
• Jennifer Rayburn, MHPP
• Brittany Gayle Reeves, PT, DPT
• Cami Elizabeth Riggins
• Right at Home House Calls LLC
• Staci Mae Risher

• Clinical Social Worker in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.