Cloye Anita Barnhart-Gray, LCSW
Individual provider Active NPI Clinical Social Worker · MC Kenzie, TN
NPI 1528059516 · NPPES record last updated Oct 26, 2015
Key facts
- NPI
- 1528059516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSW0000004446 (TN)
- Practice address
- 21205 Hyw 22
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-1401
- Fax
- (731) 352-1402
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000004446 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Health Services of Jackson | Clinical | Past |
Accepting new patients |
| Behavioral Health and Wellness | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000004446 | TN | Yes |
Addresses
Primary practice location
21205 Hyw 22
MC Kenzie, TN 38201-1649
Mailing address
21205 Hyw 22
MC Kenzie, TN 38201-1649
Phone (731) 352-1401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1507746 | Medicaid | TN |
Other providers in MC Kenzie, TN
- Sylvia Ifeyinwa Anunobi
- Holly Anne Arnold
- Aseracare Hospice - Tennessee, LLC
- Carson Elise Bailey
- Laura Baker
- Behavioral Health and Wellness
- Bethel Universtiy
- Bethel Universtiy
- Botanical Emergency Physicians, LLC
- Meredith Ann Brown
All providers in MC Kenzie, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.