Linda Irene Grayson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8982 Issued in LA

Practice address

820 Jordan St Ste 570
Shreveport, LA 71101-4512

Phone

(318) 221-4455

Fax

(318) 221-5599

NPI assigned

Nov 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Center for Psychological Trauma, LLC

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1588853048
  NPD

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1669626842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 570",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "318-221-4455",
            "fax_number": "318-221-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 570",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "318-221-4455",
            "fax_number": "318-221-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 SOUTHFIELD RD",
            "address_purpose": "LOCATION",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062219",
            "country_code": "US",
            "telephone_number": "318-841-6048 x156",
            "fax_number": "318-841-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "LINDA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Gray Jr., RPH
• Kathryn Isabella Gray
• Reshauna M Gray, PHARM.D
• Samantha Marie Gray
• Todd D Gray, CRNA
• Michael Angelo Greco, D.D.S.
• Terri Green-Anderson, LMSW, LAC
• Demetria Green-Taylor
• La'Shundra Renee Green-Washington, FNP-C
• Amber Janielle Green, MS

• Clinical Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.