Macon, La'Draya Shamicka

Macon, La'Draya Shamicka is an individual health care provider with primary practice located at 27A Washington Pl , Roosevelt NY 11575-1454. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Macon, La'Draya Shamicka can be contacted via phone (516) 623-7741.

Contact Information

Primary practice address
27A Washington Pl Roosevelt NY 11575-1454
Phone: (516) 623-7741
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 083947 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 086013 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 31869 New York

Profile Details

NPI number 1497020440
LBN Legal business name Macon, La'Draya Shamicka
Credentials LCSW, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2012
Last updated May 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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