Individual provider Active NPI

Peter William Gray, LICSW

  • Clinical Social Worker
  • Swansea, MA
National Provider Identifier
1821711573
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03728 Issued in RI
Practice address
664 Stevens Rd
Swansea, MA 02777-4701
Phone
(508) 397-8272
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW03728 RI Primary
Clinical Social Worker 1041C0700X 125911 MA

Addresses

Primary practice location

664 Stevens Rd
Swansea, MA 02777-4701

Mailing address

2 Coveside CT
East Greenwich, RI 02818-4601
Phone (401) 714-2280

Other practice location 1

8 Moscow Brook Trl
Hope Valley, RI 02832-1641
Phone (401) 400-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
125911MAMDClinical Social Worker
ISW03728RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Gray Clinical CurrentSince Apr 30, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1821711573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COVESIDE CT",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028184601",
            "telephone_number": "401-714-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STEVENS RD",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774701",
            "telephone_number": "508-397-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Moscow Brook Trl",
            "address_purpose": "LOCATION",
            "city": "Hope Valley",
            "state": "RI",
            "postal_code": "028321641",
            "country_code": "US",
            "telephone_number": "401-400-1737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03728",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.