Individual provider Active NPI

Monica Randy Grey, LCSW

  • Clinical Social Worker
  • Gainesville, FL
National Provider Identifier
1083672448
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4384 Issued in FL
Practice address
2610 NW 43Rd St Ste 1a
Gainesville, FL 32606-6677
Phone
(352) 448-5836
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW4384 FL
Massage Therapist 225700000X MA50355 FL
Clinical Social Worker 1041C0700X SW4384 FL Primary

Addresses

Primary practice location

2610 NW 43Rd St Ste 1a
Gainesville, FL 32606-6677

Mailing address

3954 NW 41St LN
Gainesville, FL 32606-4556
Phone (522) 222-8126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050405000170 FL Practitioner - Clinical Social Worker 3476500208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Acupuncture and Counseling IncGroup PAC ID 3072947225, 2 clinicians

Practice addresses (Care Compare)

2610 NW 43Rd St
Suite 1a
Gainesville, FL 32606-6677
Phone (352) 448-5836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4384FLMDChiropractor
MA50355FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Acupuncture and Counseling, Inc. Mental Health CurrentSince May 1, 2024 Accepting new patients
North Florida Assessment and Counseling Inc Mental Health CurrentSince Apr 12, 2017 Accepting new patients
Monica R. Grey, L.C.S.W., P.a. Clinical PastSince Jan 1, 1990 Accepting new patients

Locations

2610 NW 43rd St
Ste 1A
Gainesville, FL 32606
Phone (352) 448-5836

Organizations & group practices 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1083672448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 NW 41ST LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064556",
            "telephone_number": "522-222-8126",
            "fax_number": "352-377-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 NW 43RD ST STE 1A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066677",
            "telephone_number": "352-448-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "MONICA",
        "middle_name": "RANDY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW4384",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA50355",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.