Katlyn Cheree Gray, LMSW
Individual provider Active NPI Clinical Social Worker · Scurry, TX
NPI 1043889447 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1043889447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 105009 (TX)
- Practice address
- 6950 Shady LN
Scurry, TX 75158-2831 - Phone
- (469) 721-6621
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105009 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105009 | TX | Yes |
Addresses
Primary practice location
6950 Shady LN
Scurry, TX 75158-2831
Mailing address
4812 Union Park Blvd E
Aubrey, TX 76227-1528
Phone (469) 540-8200
Other names
- Katlyn Cheree Fisher
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.vertavahealth.com | Health Information Exchange (HIE) |
Other providers in Scurry, TX
- Ali M Couch
- J. Kyle Daniel
- Mariah Patrice Davis
- Jimmie Lynn Garcia
- Genetic Risk Consulting, PA
- Caitlin Alexandra Guziak-Hoerr
- Donna Jewel Hernandez
- Heather Rachelle Jestis
- KB Support Services
- Kynan Kinley
All providers in Scurry, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.