Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Willie Ray McCoy III, LCSW-A

Individual provider Clinical Social Worker · NPI 1780145821

Mr. Willie Ray McCoy III, LCSW-A is a Clinical Social Worker in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

3640 Westgate Center Cir Ste A
Winston Salem, NC 27103-3056
Phone: (704) 237-4240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P013183 (NC)

Record details

NPI number1780145821
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-A
Sole proprietorYes
NPI enumeratedMarch 29, 2019
Last updated in NPPESMarch 30, 2019

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