MYKOLE MCCRAY (LCSW) – Clinical Social Worker, NPI 1548099203

MYKOLE MCCRAY (LCSW) is a healthcare provider. based in Victoria, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904017140 (VA). The NPI Number for MYKOLE MCCRAY (LCSW) is 1548099203

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MYKOLE MCCRAY (LCSW)
NPI
1548099203
Phone
(434) 294-3382
Address
PO BOX 212
Enumeration Date
31 July 2024
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4343926455
Graduation Year
2020 (6 years ago)
PAC ID
5395277693
Group Practice PAC ID
4486649977
Professional Enrollment ID
I20241011000326
Address ID
VA239013183FA161XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for MYKOLE MCCRAY (LCSW)

  • PO BOX 212

    VICTORIA, VA 239740212

    Phone: (434) 294-3382

    Type: Mailing

  • 161 BUSH RIVER DR

    FARMVILLE, VA 239013183

    Phone: (434) 294-3382

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241011000326IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23974)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486649977View full group profile
NameSpecialtyState
Mental Health CounselorVA
Mental Health CounselorVA
Nurse PractitionerNV
-VA
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA
Nurse PractitionerME
Mental Health CounselorVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do payers reference MYKOLE MCCRAY (LCSW)?
For MYKOLE MCCRAY (LCSW), use NPI 1548099203 as the unique 10-digit identifier.
Is there an active status for MYKOLE MCCRAY (LCSW)?
For scheduling context, MYKOLE MCCRAY (LCSW) is shown as active in the registry.
What kind of doctor is MYKOLE MCCRAY (LCSW)?
MYKOLE MCCRAY (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is MYKOLE MCCRAY (LCSW) located near Victoria?
MYKOLE MCCRAY (LCSW) currently maps to Victoria, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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