Dylan Amelia Gray, MSW, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

56077 Issued in MN

Practice address

2230 Como Ave
Saint Paul, MN 55108-1720

Phone

(651) 645-5323

NPI assigned

Jul 3, 2019

Last updated

Jul 3, 2019By the provider in NPPES

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

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1518529197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 23RD AVE S APT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073880",
            "telephone_number": "774-526-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081720",
            "telephone_number": "651-645-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DYLAN",
        "middle_name": "AMELIA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "56077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew D Gravel, D.C.
• Krista K Graven, MD
• Billie Lynn Gray, PSYD
• Bonnie Lee Gray, PH.D.
• Carrie Jean Gray, PA C
• Hafia Gray, MA, LPCC, LADC
• Janelle Gray, LPCC
• Lillian Katherine Gray, AA
• Paul Gray, PA-C
• Janette Virginia Grazzini, M.A., L.P.

• Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.