Individual provider Active NPI

Westley Bailey-Gray, LCSW

  • Clinical Social Worker
  • Lubbock, TX
National Provider Identifier
1073022489
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111853 Issued in TX
Practice address
4000 24TH St
Lubbock, TX 79410-1894
Phone
(806) 725-0566
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111853 TX Primary
Social Worker 104100000X 14522 LA
School Social Worker 1041S0200X 17037 LA

Addresses

Primary practice location

4000 24TH St
Lubbock, TX 79410-1894

Mailing address

1703 Avenue T
Lubbock, TX 79401-4619
Phone (601) 421-5999

Other identifiers 1

IdentifierTypeStateIssuer
1701033MedicaidLA

Other names 1

  • Westley Bailey Gray Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521001054 TX Practitioner - Clinical Social Worker 3577905751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14522LAMDSocial Worker
17037LAMDSchool Social Worker
111853TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince May 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince May 1, 2024 Accepting new patients

Locations

4000 24th St
Lubbock, TX 79410
Phone (806) 725-0000

3601 4th St
#1A122
Lubbock, TX 79430
Phone (806) 743-2391

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1073022489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 AVENUE T",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014619",
            "telephone_number": "601-421-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101894",
            "telephone_number": "806-725-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY-GRAY",
        "first_name": "WESTLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111853",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "14522",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "LA",
            "license": "17037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WESTLEY",
            "last_name": "GRAY",
            "middle_name": "BAILEY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.