Organization Active NPI

Vanessa Gray, LCSW, LLC

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1144793449
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VANESSA GRAY, LCSW, LLC
Practice address
319 Clematis St Ste 204
West Palm Beach, FL 33401-4615
Phone
(561) 614-2884
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Ms. Vanessa Gray, LCSW, MCAP
Title
Sole Member
Phone
(561) 614-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

319 Clematis St Ste 204
West Palm Beach, FL 33401-4615

Mailing address

319 Clematis St Ste 204
West Palm Beach, FL 33401-4615
Phone (561) 614-2884

National Provider Directory

National Provider Directory

Locations

319 Clematis St
Ste 204
West Palm Beach, FL 33401
Phone (561) 614-2884

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1144793449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 CLEMATIS ST STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014615",
            "telephone_number": "561-614-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 CLEMATIS ST STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334014615",
            "telephone_number": "561-614-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA GRAY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "561-614-2884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MCAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.