Amy L Gray, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0020357-SUPV Issued in OH

Practice address

1100 Fairy Falls Dr Ste 4
Coshocton, OH 43812-2803

Phone

(740) 722-9416

Fax

(740) 722-9418

NPI assigned

Dec 19, 2006

Last updated

May 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy Gray LLC

  • Clinical Social Worker
  • Coshocton, OH
  • NPI 1194382762
  Medicare reassignment NPD Authorized official
• Affirmations Behavioral Health Services

  • Clinical Social Worker
  • Coshocton, OH
  • NPI 1477011088
  NPD (past) Authorized official
• L & P Services, Inc.

  • Public Health or Welfare Agency
  • Marietta, OH
  • NPI 1942289301

  Addiction (Substance Use Disorder)

  NPD (past)
• Psychiatric Health 1, LTD

  • Psychiatry Physician
  • Zanesville, OH
  • NPI 1912078312
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1558424515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69902 MOUNT HERMON RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259464",
            "telephone_number": "740-705-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FAIRY FALLS DR STE 4",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122803",
            "telephone_number": "740-722-9416",
            "fax_number": "740-722-9418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Adair Avenue",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "43701",
            "country_code": "US",
            "telephone_number": "740-891-9006",
            "fax_number": "740-891-9007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Coshocton",
            "state": "OH",
            "postal_code": "438121164",
            "country_code": "US",
            "telephone_number": "740-705-1543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "954452",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0020357",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0020357-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Gracyk
• Beverly Diane Graham
• Marcy Graham, RN
• Christopher Alan Graves
• Allyson Gray
• Shannon Katherine Gress, RN
• Maryalice Grewell, RN
• Serena Adrianne Grewell
• Wilma L Griffith, MEDICAL ASSISTANT
• Lindsey Griffiths

• Clinical Social Worker in Coshocton, OH
• Providers in Coshocton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.