Active NPI
Elizabeth Lynn Gray, LICSW, LMSW
- Social Worker
- Tacoma, WA
National Provider Identifier
1407924327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5785
- Practice address
- 9040 A Reid Street
Madigan Health System/ Army Substance Abuse Program
Tacoma, WA 98431 - Phone
- (253) 967-2202
- NPI assigned
- Nov 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5785 | KS | Primary |
| Clinical Social Worker | 1041C0700X | ISW02127 | RI |
Addresses
Primary practice location
9040 A Reid Street
Madigan Health System/ Army Substance Abuse Program
Tacoma, WA 98431
Mailing address
9040 A Reid Street
Madigan Health System/ Army Substance Abuse Program
Tacoma, WA 98431
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 |
|---|---|---|---|
| 5785 | KS | MD | Social Worker |
| ISW02127 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1407924327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 A REID STREET",
"address_2": "MADIGAN HEALTH SYSTEM/ ARMY SUBSTANCE ABUSE PROGRAM",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 A REID STREET",
"address_2": "MADIGAN HEALTH SYSTEM/ ARMY SUBSTANCE ABUSE PROGRAM",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-967-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ELIZABETH",
"middle_name": "LYNN",
"credential": "LICSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "5785",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02127",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.