Amanda Gray, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10383610-3502 Issued in UT

Practice address

1204 W South Jordan Pkwy Ste B
South Jordan, UT 84095-4612

Phone

(801) 302-3801

Fax

(801) 302-7248

NPI assigned

Oct 24, 2017

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.

• Balance Counseling, PLLC

  • Mental Health Counselor
  • American Fork, UT
  • NPI 1174138143
  NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1700398237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W 10250 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958844",
            "telephone_number": "801-664-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W SOUTH JORDAN PKWY STE B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954612",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10383610-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Gormus, DNP, APRN, FNP-C
• Theresa Gourde, MD
• Grab Healthcare, LLC
• Grabmd, LLC
• Shannee June Graham, LAMFT
• Green Rock Home Care Inc
• Bethany Green, DNP, MSN-ED., FNP-C
• Greenwood Family Clinic LLC
• Todd Gregory
• Charles A. Kip Griffith, LCSW

• Clinical Social Worker in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.