Active NPI
Tonya Michelle Gray, MSW, LCSW-A, LCAS-A
- Clinical Social Worker
- Lillington, NC
National Provider Identifier
1578956272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008625
- Practice address
- 1210 S Main St
Lillington, NC 27546-7924 - Phone
- (910) 893-7233
- Fax
- (910) 893-3508
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-20375 | NC | |
| Clinical Social Worker | 1041C0700X | P008625 | NC | Primary |
Addresses
Primary practice location
1210 S Main St
Lillington, NC 27546-7924
Mailing address
PO Box 728
Lillington, NC 27546-0728
Phone (910) 893-7233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-20375 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| P008625 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1578956272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275460728",
"telephone_number": "910-893-7233",
"fax_number": "910-893-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S MAIN ST",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275467924",
"telephone_number": "910-893-7233",
"fax_number": "910-893-3508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "TONYA",
"middle_name": "MICHELLE",
"credential": "MSW, LCSW-A, LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-20375",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.