Healthcare Provider Details

I. General information

NPI: 1548177173
Provider Name (Legal Business Name): SAMIRA MCKAY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33401-2225
US

IV. Provider business mailing address

5801 NW 57TH CT APT K203
TAMARAC FL
33319-2391
US

V. Phone/Fax

Practice location:
  • Phone: 561-662-6900
  • Fax:
Mailing address:
  • Phone: 954-464-3039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: