Jeff Michael Gray I, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5618 Issued in OR

Practice address

Oregon State Hospital
2600 Center Street NE
Salem, OR 97301

Phone

(503) 945-0963

Fax

(503) 373-1681

NPI assigned

Feb 21, 2020

Sex

Male

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

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1801429469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OREGON STATE HOSPITAL",
            "address_2": "2600 CENTER ST. NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OREGON STATE HOSPITAL",
            "address_2": "2600 CENTER STREET NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-945-0963",
            "fax_number": "503-373-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JEFF",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "5618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Gray, ATC
• Dawn L Gray, RD
• Elizabeth A Gray, DPT
• Emily Gray, PHARMD.
• Gia M. Gray, MD
• Sheri L Gray, ABOC
• Virginia Rose Edwards Gray, PT, DPT
• Whitney Ann Gray, PT, DPT
• Zackary Gray, BEHAVIORAL THERAPIST
• William G Grayson, CADC II/QMHA I

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.