Healthcare Provider Details
I. General information
NPI: 1902913346
Provider Name (Legal Business Name): MICHAEL MURRAY MCGREGOR LCSW LICSW LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11B FIRST FIELD RD
GAITHERSBURG MD
20878
US
IV. Provider business mailing address
6123 MONTROSE RD
ROCKVILLE MD
20852
US
V. Phone/Fax
- Phone: 301-990-6880
- Fax: 301-990-0257
- Phone: 301-881-3700
- Fax: 301-468-1862
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 03962 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | LC301088 |
| License Number State | DC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | LCM085 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: