Michele Lynn Bray, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ACSW 2ND # PENDING Issued in CA

Practice address

11835 W. Olympic Blvd Suite 1090
Social Service Professionals
Los Angeles, CA 90064

Phone

(310) 473-4448

NPI assigned

Feb 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Michele Palmer Bray Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Social Service Professionals

  • General Acute Care Hospital
  • North Hollywood, CA
  • NPI 1528368735
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1386940484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 RALSTON LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784616",
            "telephone_number": "310-739-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W. OLYMPIC BLVD SUITE 1090",
            "address_2": "SOCIAL SERVICE PROFESSIONALS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "310-473-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW#8603",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW 2ND # PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "BRAY",
            "middle_name": "PALMER",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John F Bray, MD
• Jordan Bray
• Larissa Bray
• Malinda Bray
• Michael Wayne Bray
• Stephanie Bray
• Yolanda Delphine Bray
• Angelo Christian Braye
• Chanton Brazal
• Renee Brazell

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.