Individual provider Active NPI

Scott Joseph Gray, LCSW

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1497947592
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55033 Issued in TX
Practice address
2804 Salorn CV
Round Rock, TX 78681-2384
Phone
(210) 305-1221
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14631 LA
Clinical Social Worker 1041C0700X 55033 TX Primary

Addresses

Primary practice location

2804 Salorn CV
Round Rock, TX 78681-2384

Mailing address

2804 Salorn CV
Round Rock, TX 78681-2384
Phone (210) 305-1221

Other practice location 1

243 Curtiss Rd Ste 100
Barksdale AFB, LA 71110-2425
Phone (318) 456-6600

Other practice location 2

1006 Highland Ave
Shreveport, LA 71101-4103
Phone (318) 678-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910004842 TX Practitioner - Clinical Social Worker 7517460173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1430 Collier St
Austin, TX 78704-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14631LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center Social Worker CurrentSince Aug 18, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Aug 18, 2025 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

6600 E Ben White Blvd
Austin, TX 78741
Phone (512) 804-3740

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1497947592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 SALORN CV",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812384",
            "telephone_number": "210-305-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 SALORN CV",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812384",
            "telephone_number": "210-305-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Curtiss Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Barksdale AFB",
            "state": "LA",
            "postal_code": "711102425",
            "country_code": "US",
            "telephone_number": "318-456-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014103",
            "country_code": "US",
            "telephone_number": "318-678-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.