Active NPI
Peter William Gray, LICSW
- Clinical Social Worker
- Swansea, MA
National Provider Identifier
1821711573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW03728
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 125911 | MA | MD | Clinical Social Worker |
| ISW03728 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter Gray | Clinical | Current | 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.
-
- Clinical Social Worker
- Hope Valley, RI
- NPI 1841988243
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.