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

MS. La'Draya Shamicka Macon, LCSW, CASAC

Individual provider Clinical Social Worker · NPI 1497020440

MS. La'Draya Shamicka Macon, LCSW, CASAC is a Clinical Social Worker in Roosevelt, New York. Qualified in 2009, 17 years ago. Practices with New Horizon Counseling Center Inc, a 85-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2012
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

27A Washington Pl
Roosevelt, NY 11575-1454
Phone: (516) 623-7741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 083947 (NY)
Social Worker Taxonomy 104100000X · Licence 086013 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 31869 (NY)

Record details

NPI number1497020440
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CASAC
Sole proprietorNo
NPI enumeratedMarch 8, 2012
Last updated in NPPESMay 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice New Horizon Counseling Center Inc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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