Active NPI
Jennifer Gay Taylor-Gray, DSW
- Clinical Social Worker
- Clear Spring, MD
National Provider Identifier
1154211340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05715
- Practice address
- 11730 Big Spring Rd
Clear Spring, MD 21722-1956 - Phone
- (301) 331-0082
- NPI assigned
- Jul 8, 2025
- Last updated
- Jul 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05715 | MD | Primary |
Addresses
Primary practice location
11730 Big Spring Rd
Clear Spring, MD 21722-1956
Mailing address
11730 Big Spring Rd
Clear Spring, MD 21722-1956
Phone (301) 331-0082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05715 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1154211340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11730 BIG SPRING RD",
"city": "CLEAR SPRING",
"state": "MD",
"postal_code": "217221956",
"telephone_number": "301-331-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11730 BIG SPRING RD",
"city": "CLEAR SPRING",
"state": "MD",
"postal_code": "217221956",
"telephone_number": "301-331-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-GRAY",
"first_name": "JENNIFER",
"middle_name": "GAY",
"name_prefix": "Dr.",
"credential": "DSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clear Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.