Individual provider Active NPI

Twannie Gray, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1750619599
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087539 Issued in MI
Practice address
1010 N Niagara St
Suite 2
Saginaw, MI 48602-4359
Phone
(989) 401-5564
Fax
(989) 401-5564
NPI assigned
Dec 4, 2009
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087539 MI Primary

Addresses

Primary practice location

1010 N Niagara St
Suite 2
Saginaw, MI 48602-4359

Mailing address

1010 N Niagara St
Suite 2
Saginaw, MI 48602-4359
Phone (989) 401-5564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302002806 MI Practitioner - Clinical Social Worker 9032414008 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Healing Arts Center LLC Clinical CurrentSince Jan 4, 2016 Accepting new patients
Solutions Behavioral Health, LLC CurrentSince Jan 4, 2016 Accepting new patients

Locations

2387 S Linden Rd
Ste 138
Flint, MI 48532
Phone (989) 475-4171

204 W Buttles St
Midland, MI 48640

1010 N Niagara St
Ste 2
Saginaw, MI 48602
Phone (989) 401-5562

1203 N Michigan Ave
Saginaw, MI 48602
Phone (989) 401-5562

3253 Congress Ave
Saginaw, MI 48602
Phone (989) 475-4171

3323 Shattuck Rd
Ste 1
Saginaw, MI 48603
Phone (989) 475-4171

3995 Fashion Square Blvd
Ste 6
Saginaw, MI 48603
Phone (989) 475-4171

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1750619599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N NIAGARA ST",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024359",
            "telephone_number": "989-401-5564",
            "fax_number": "989-401-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N NIAGARA ST",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024359",
            "telephone_number": "989-401-5564",
            "fax_number": "989-401-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TWANNIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-04",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.