KIM RAY LICSW, LCSW-C
NPI 1710507363
Social Worker - Clinical in Waldorf, MD

Active since April 23, 2020
11658 MUSTANG CREEK CT, WALDORF, MD 20602(301) 710-4283 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2025, Apr 23, 2020 (2 updates tracked since 2020).

About Kim Ray Licsw, Lcsw-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM RAY LICSW, LCSW-C (NPI 1710507363) is an individual clinical provider in Waldorf, Maryland, licensed in District Of Columbia (LC50078268) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1710507363
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM RAYCredential: LICSW, LCSW-C
Location Address11658 MUSTANG CREEK CTWaldorf, MD 20602-4173
Mailing Address11658 Mustang Creek CtWaldorf, MD 20602-4173
Sole ProprietorYes
Enumeration DateApril 23, 2020
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1710507363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in DC · LC50078268✔ Licensed in MD · 13197
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.
11658 MUSTANG CREEK CT, Waldorf, MD 20602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Ray's NPI number?

The NPI number for Kim Ray is 1710507363. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Kim Ray located?

Kim Ray practices at 11658 Mustang Creek Ct, Waldorf, MD 20602. The listed phone number is (301) 710-4283.

What is Kim Ray's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kim Ray was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.