Provider Demographics
NPI:1316923477
Name:MCKAY, CECILIA C (MSW)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:C
Last Name:MCKAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 KENT OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5617
Mailing Address - Country:US
Mailing Address - Phone:301-802-4126
Mailing Address - Fax:
Practice Address - Street 1:3204 TOWER OAKS BLVD
Practice Address - Street 2:SUITE 175
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4250
Practice Address - Country:US
Practice Address - Phone:301-770-7677
Practice Address - Fax:301-977-5513
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
491900Medicare ID - Type Unspecified