Liz Gray Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016628 Issued in IL

Legal business name

LIZ GRAY COUNSELING, INC.

Practice address

17900 Dixie Hwy
Suite 11
Homewood, IL 60430-1754

Phone

(708) 816-4729

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Elizabeth Gray, LCSW

Title

President

Phone

(847) 899-8320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1053863092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CORINTH DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 DIXIE HWY",
            "address_2": "SUITE 11",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301754",
            "telephone_number": "708-816-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZ GRAY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-899-8320",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.