Laurie Beth Gray, LCSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0490811 Issued in NY

Practice address

47-37 Utopia Parkway
Auburndale, NY 11358-3840

Phone

(718) 229-7174

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Laurie Beth Bauman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245447457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213-20 A 69TH AVENUE",
            "address_2": "APT A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642517",
            "telephone_number": "718-229-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-37 UTOPIA PARKWAY",
            "city": "AUBURNDALE",
            "state": "NY",
            "postal_code": "113583840",
            "telephone_number": "718-229-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LAURIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0490811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER NU",
            "identifier": "484976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PIN NUMBER",
            "identifier": "7337878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BAUMAN",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "CSW ACSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rahab S Basher, PHARMD
• Joseph Richard Caruso Jr., DDS
• Alex Catege, PHARM.D
• Janet Lizette Delgado, BCBA
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10591)
• Janice Hart, M.S., CCC-A
• Sohil Jain
• Denise Marie Jordan, LMSW
• Eun Dam Kim, RPH
• Nellie Li, RPH

• Clinical Social Worker in Auburndale, NY
• Providers in Auburndale, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.