Provider Demographics
NPI:1881879807
Name:MCRAE, LINDA PERKINS (LCSW, LCASA, CCJP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:PERKINS
Last Name:MCRAE
Suffix:
Gender:F
Credentials:LCSW, LCASA, CCJP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 AKRON DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-3853
Mailing Address - Country:US
Mailing Address - Phone:336-631-1948
Mailing Address - Fax:336-245-8715
Practice Address - Street 1:810 AKRON DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-3853
Practice Address - Country:US
Practice Address - Phone:336-631-1948
Practice Address - Fax:336-245-8715
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPOO4089101YM0800X
NC101YP1600X
NCC0083201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral