Active NPI
Totundra Grays, PHD, LCSW, MPA
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1629329388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35577
- Practice address
- 15800 Seagoville Rd
Dallas, TX 75253-5703 - Phone
- (972) 892-7180
- NPI assigned
- Sep 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 35577 | TX | Primary |
Addresses
Primary practice location
15800 Seagoville Rd
Dallas, TX 75253-5703
Mailing address
PO Box 411338
Dallas, TX 75241-8338
Phone (214) 697-4269
Other practice location 1
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 697-4269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629329388 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35577 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629329388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411338",
"city": "DALLAS",
"state": "TX",
"postal_code": "752418338",
"telephone_number": "214-697-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 SEAGOVILLE RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752535703",
"telephone_number": "972-892-7180"
}
],
"practiceLocations": [
{
"address_1": "5200 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357709",
"country_code": "US",
"telephone_number": "214-697-4269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAYS",
"first_name": "TOTUNDRA",
"name_prefix": "Ms.",
"credential": "PHD, LCSW, MPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "35577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629329388",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.