MS. La'draya Shamicka Macon, LCSW, CASAC
NPI #1497020440 in Roosevelt, New York
Provider Information
- NPI Number
- 1497020440
- Entity Type
- Individual
- Name
- MS. La'draya Shamicka Macon, LCSW, CASAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, CASAC
- Enumeration Date
- Mar 8, 2012
- Last Updated
- May 4, 2016
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Social Worker |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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