MR. VAN DAVID RAY


Address: 115 E Main St, 1st Floor Office 1, Williamston, NC 27892-2492
Phone: 2527921626

MR. VAN DAVID RAY (NPI# 1659580132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659580132
Entity Type Individual
Full Name MR. VAN DAVID RAY
Credential LCSW
Practice Address 115 E Main St
1st Floor Office 1
Williamston
NC 27892-2492
Mailing Address 111 Syme Cir
Greenville
NC 27858-9765
Practice Telephone 2527921626
Practice Fax Number 2527921658
Mailing Telephone 2527572465
Mailing Fax Number 2527921658
Enumeration Date 2007-05-22
Last Update Date 2009-04-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C003722 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS OF NC 139AX 01
NC 6003204 05

Office Location

Street Address 115 E MAIN ST
1ST FLOOR OFFICE 1
City WILLIAMSTON
State NC
Zip Code 27892-2492

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215244454 Lisa Smith Bunch Respiratory Therapist, Registered 115 E Main St, Office 18, Williamston, NC 27892-2492 2010-09-09
1235372046 Lisa C Lineberger Respiratory Therapist, Registered 115 E Main St, Williamston, NC 27892-2492 2009-04-08
1467620211 U-turn Human Services, Inc. Community/Behavioral Health 115 E Main St, Suite 1, Williamston, NC 27892-2492 2008-02-14
1659556637 U-turn Human Services, Inc. Community/Behavioral Health 115 E Main St, Williamston, NC 27892-2492 2008-01-08
1023209319 Respiratory Consulting Services, Inc Durable Medical Equipment & Medical Supplies 115 E Main St, Suite 18, Williamston, NC 27892-2492 2007-08-05
1720204290 U-turn Human Services Inc Community/Behavioral Health 115 E Main St, Williamston, NC 27892-2492 2007-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841844388 A Ray of Hope Enterprise LLC Counselor 115 E. Main St, Williamston, NC 27892 2019-08-01
1689145476 Michael Thomas Parrella Physician Assistant 2150, 310 South Mccaskey Road, Williamston, NC 27892 2018-12-06
1285136762 Myeyedr Optometry of North Carolina, Pllc Optometrist 1227 Brentway Ave, Williamston, NC 27892 2018-03-01
1528443843 Jeanette Ruffin Counselor 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 2015-07-28
1578719712 Martin County Residential Services Community/Behavioral Health 6003 W. Main Street, Williamston, NC 27892 2008-08-07
1962662577 Otis Benjamin Burnett Iv Anesthesiology 310 South Mckaskey Rd, Williamston, NC 27892 2008-06-17
1659543932 Divine Intervention for Youth Inc. Community/Behavioral Health 203 Green Street, Williamston, NC 27892 2008-03-27
1568645521 Earle Eugene Barnard Physical Therapist 115 West Boulevard, Williamston, NC 27892 2007-12-13
1124168141 Martin County Residential Services Inc. Case Manager/Care Coordinator 6003 West Main Street, Williamston, NC 27892 2007-02-07
1962551374 David T Marshburn Dentist 1025 Harrisway Drive, Williamston, NC 27892 2007-01-09
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487192936 Karen Margaret Newman Social Worker 440 E Riverside St, Williamston, MI 48895-1147 2017-02-04
1487018289 Healing Journey Xvi Inc Social Worker 4549 Meridian Rd, Williamston, MI 48895-9417 2016-04-07
1013320449 Jacqueline Urban Social Worker 137 E Newman Rd, Williamston, MI 48895-9329 2014-06-03
1649522459 Carol Z Way Social Worker 870 Hickory Ln, Williamston, MI 48895-1042 2012-10-04
1912264656 Tracie V Smith Social Worker 1403 Eli Bowen Rd, Williamston, NC 27892-7942 2012-04-19
1427365121 Christie Manning Herring Social Worker 210 West Liberty Street, Williamston, NC 27892-0000 2010-09-02
1811158546 Prosource Therapeutics, LLC Social Worker 622 East Blvd, Williamston, NC 27892-2736 2008-06-25
1689706640 Mary Therese Cavanagh Social Worker 3486 Moyer Rd, Williamston, MI 48895-9566 2007-03-12
1275676892 Jorge Antonio Perdomo Social Worker 900 Greenville Drive, Williamston, SC 29697 2007-02-14
1306907209 Norma J Sell Social Worker 3971 Woodpass Ln, Williamston, MI 48895-9044 2006-12-13
Find all providers in WILLIAMSTON

Competitor

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City WILLIAMSTON
Zip Code 27892

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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