Katelyn Gray-Salman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15124 Issued in FL

Practice address

4940 Emerson St Ste 103
Jacksonville, FL 32207-4970

Phone

(904) 236-6776

NPI assigned

Mar 27, 2015

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

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.

• The Adoption Authority, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1821653601
  NPD (past)

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1437543428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400471429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EMERSON ST STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074970",
            "telephone_number": "904-236-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Perryville Rd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221306",
            "country_code": "US",
            "telephone_number": "859-936-3513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY-SALMAN",
        "first_name": "KATELYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Mosley Graves
• Erik P Graves
• Sarah Graves
• Susan Norton Graves
• Kelly Rae Gray-Eurom, M.D.
• Alicia A Gray
• Anthony Gray
• Ariana Gray, ED.S., NCSP
• Barbara Gray
• Britney Buck Gray

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.