Individual provider Active NPI

Jodi Gray, MSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1235754169
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12686 Issued in CT
Practice address
61 S Main St Ste 214
West Hartford, CT 06107-2486
Phone
(860) 969-2399
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CT
Clinical Social Worker 1041C0700X 12686 CT Primary

Addresses

Primary practice location

61 S Main St Ste 214
West Hartford, CT 06107-2486

Mailing address

61 S Main St Ste 214
West Hartford, CT 06107-2486
Phone (860) 969-2399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12686CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wehamh PC Clinical CurrentSince Apr 10, 2023 Accepting new patients

Locations

61 S Main St
Ste 214
West Hartford, CT 06107
Phone (860) 231-2487

Interoperability endpoints

  • Direct secure messaging: jodi.gray.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 1

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1235754169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 214",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "860-969-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S MAIN ST STE 214",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072486",
            "telephone_number": "860-969-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JODI",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.