Katlyn Cheree Gray, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105009 Issued in TX

Practice address

6950 Shady LN
Scurry, TX 75158-2831

Phone

(469) 721-6621

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katlyn Cheree Fisher Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1043889447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 UNION PARK BLVD E",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271528",
            "telephone_number": "469-540-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SHADY LN",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751582831",
            "telephone_number": "469-721-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KATLYN",
        "middle_name": "CHEREE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.vertavahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7290 Virginia Pkwy Ste 300",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750715741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "FISHER",
            "middle_name": "CHEREE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ali M Couch, LVN
• J. Kyle Daniel, LPC
• Mariah Patrice Davis
• Jimmie Lynn Garcia, PHLEBOTOMIST NRCPT
• Genetic Risk Consulting, PA
• Caitlin Alexandra Guziak-Hoerr, LPC, LCDC
• Donna Jewel Hernandez, LVN
• Heather Rachelle Jestis
• KB Support Services
• Kynan Kinley, M.A., LPC

• Clinical Social Worker in Scurry, TX
• Providers in Scurry, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.