Erica Lizeth Gray, LCSW

Individual provider Active NPI Clinical Social Worker · Beale Afb, CA

NPI 1437993201 · NPPES record last updated May 6, 2026

Key facts

NPI
1437993201
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
138299 (CA)
Practice address
24112 A St
Beale Afb, CA 95903-1713
Phone
(530) 634-2953
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
138299CAMDClinical Social Worker
SWB-2024-0399NMMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2024-0399 NM
Clinical Social Worker 1041C0700X 138299 CA Yes

Addresses

Primary practice location

24112 A St
Beale Afb, CA 95903-1713

Mailing address

500 Cotton Gin LN
Lawrenceville, GA 30045-8129
Phone (770) 369-2875

Other practice location 1

935 14th St
Marysville, CA 95901-4129
Phone (530) 749-1298

Other names

  • Erica Lizeth Orellana Former name

Other providers in Beale Afb, CA

All providers in Beale Afb, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.