Angela Eileen Gray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63049 Issued in TX

Practice address

1415 North Loop W Ste 1060
Houston, TX 77008-1664

Phone

(816) 248-3043

Fax

(713) 338-2371

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1740201367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W STE 1060",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "816-248-3043",
            "fax_number": "713-338-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W STE 1060",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "816-248-3043",
            "fax_number": "713-338-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANGELA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2005013077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3657405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497286902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Louise Gravesmill, LCSW
• Gray Falls Heart, Inc.
• Caroline Gray-Dorley
• Alegria Gray, RBT
• Amber L Gray, LCSW
• Anna Gray, LVN
• Averya Gray, AGPCNP
• Bill George Gray I, D.D.S.
• Bobby G Gray, MA
• Brandon D. Gray, M.P.T., D.P.T.

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.