Organization Active NPI

Anne Morgan Gray LTD

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1295009397
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03663 Issued in MD
Legal business name
ANNE MORGAN GRAY LTD
Practice address
5305 McKinley St
Bethesda, MD 20814-1413
Phone
(301) 897-9591
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Mr. Stephen David Kornblatt
Title
Vice-President/Treasurer
Phone
(301) 452-3449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 03663 MD Primary

Addresses

Primary practice location

5305 McKinley St
Bethesda, MD 20814-1413

Mailing address

5305 McKinley St
Bethesda, MD 20814-1413
Phone (301) 897-9591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1295009397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 MCKINLEY ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141413",
            "telephone_number": "301-897-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 MCKINLEY ST",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141413",
            "telephone_number": "301-897-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE MORGAN GRAY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "KORNBLATT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "VICE-PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "301-452-3449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.