Mary Gray

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3758 Issued in KY

Practice address

4010 Dupont Cir Ste 562
Louisville, KY 40207-4888

Phone

(502) 896-1850

NPI assigned

Jun 10, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mary Talley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Counselor

  NPD (past)
• Simetria Fall Prevention Centers LLC

  • Audiologist
  • Louisville, KY
  • NPI 1720244361
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1003136292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 562",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074888",
            "telephone_number": "502-896-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 562",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074888",
            "telephone_number": "502-896-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TALLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krislin Diann Lashea Gray, LCSW
• Krissa Brooke Gray, APRN
• Laman A. Gray Jr., M.D.
• Latawnya R Gray
• Lauryn Gray, RBT
• Mary Gray
• Natalie Gray
• Nicole Gray, LMT
• Nowell Evan Gray, D.D.S.
• Patricia Ann Gray, MSED, BCBA, LBA

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.