Active NPI
Amy Gray, LICSW
- Clinical Social Worker
- Northampton, MA
National Provider Identifier
1548652944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118570
- Practice address
- 70 Main St
2ND Floor
Northampton, MA 01060-1470 - Phone
- (413) 522-4903
- NPI assigned
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118570 | MA | Primary |
Addresses
Primary practice location
70 Main St
2ND Floor
Northampton, MA 01060-1470
Mailing address
70 Main St
2ND Floor
Northampton, MA 01060-1470
Phone (413) 522-4903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 15, 2023 through Aug 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118570 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1548652944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"address_2": "2ND FLOOR",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010601470",
"telephone_number": "413-522-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"address_2": "2ND FLOOR",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010601470",
"telephone_number": "413-522-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "AMY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "118570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.