Jennifer Gray

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BP00941171 Issued in WV

Practice address

12 Kanawha Ter
Saint Albans, WV 25177-2750

Phone

(304) 201-1130

Fax

(304) 201-1100

NPI assigned

May 31, 2018

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)

Not enrolled

State licenses

Practice roles

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.

• KVC

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1609270941
  NPD (past)
• Women Care Inc

  • Federally Qualified Health Center (FQHC)
  • Scott Depot, WV
  • NPI 1194759290
  NPD (past)
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Saint Albans, WV
  • NPI 1902166945
  NPD (past)
• Womencare Inc

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1962045948
  NPD (past)
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1740450089
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1699267294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KANAWHA TER",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772750",
            "telephone_number": "304-201-1130",
            "fax_number": "304-201-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00941171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael William Graham, DPT
• Curtis Grant
• Gregory Layne Grant, PA-C
• Nicole Grant
• April Gray
• Sarah Green
• Greenbrier Valley Physical Therapy LLC
• Karle Edward Griffith
• Loretta Griffith
• Thomas E Griffith

• Clinical Social Worker in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.