Individual provider Active NPI

O. Danel Louis Gray, MSW, LCSW, DCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1437250222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002054 Issued in MO
Practice address
915 N Grand Blvd
Social Work Division
Saint Louis, MO 63106-1621
Phone
(314) 652-4100
Fax
(314) 289-6597
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002054 MO Primary

Addresses

Primary practice location

915 N Grand Blvd
Social Work Division
Saint Louis, MO 63106-1621

Mailing address

5801 Sir Edward LN
Florissant, MO 63033-7846
Phone (314) 741-5971

Other identifiers 1

IdentifierTypeStateIssuer
002054OtherMOCLINICAL SOCIAL WORK LICE

Other names 1

  • Mr. Oronde Danel Louis Gray Other name

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

LicenseStateTypeSpecialty
002054MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437250222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SIR EDWARD LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337846",
            "telephone_number": "314-741-5971",
            "fax_number": "314-741-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD",
            "address_2": "SOCIAL WORK DIVISION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-652-4100",
            "fax_number": "314-289-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "O. DANEL",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK LICE",
            "identifier": "002054",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORONDE DANEL",
            "last_name": "GRAY",
            "middle_name": "LOUIS",
            "prefix": "MR.",
            "credential": "MSW, LCSW, DCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • 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.