Active NPI
Shannon Maureen Gray, LMSW
- Clinical Social Worker
- Kuna, ID
National Provider Identifier
1235344722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW8851236
- Practice address
- 190 W. Main St.
Kuna, ID 83634 - Phone
- (208) 922-9001
- Fax
- (208) 922-3778
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LCSW8851236 | ID | Primary |
Addresses
Primary practice location
190 W. Main St.
Kuna, ID 83634
Mailing address
1848 W Stone Valley Dr
Meridian, ID 83642-3578
Phone (208) 288-1918
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 |
|---|---|---|---|
| LMSW-24699 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1235344722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 W STONE VALLEY DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423578",
"telephone_number": "208-288-1918",
"fax_number": "208-922-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 W. MAIN ST.",
"city": "KUNA",
"state": "ID",
"postal_code": "83634",
"telephone_number": "208-922-9001",
"fax_number": "208-922-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "SHANNON",
"middle_name": "MAUREEN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW8851236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.