Individual provider Active NPI

Alyssa Gray, LMSW

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1821856675
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121248 Issued in MI
Practice address
1209 N 3Rd St
Marquette, MI 49855-3009
Phone
(906) 273-0964
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 6801121248 MI Primary

Addresses

Primary practice location

1209 N 3Rd St
Marquette, MI 49855-3009

Mailing address

1209 N 3Rd St
Marquette, MI 49855-3009
Phone (906) 273-0964

Other names 1

  • Al Gray Professional name

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
I20251218000819 MI Practitioner - Clinical Social Worker 8729573613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1209 N 3Rd St
Marquette, MI 49855-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121248MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suunta Integrative Health Clinical CurrentSince Dec 11, 2025 Accepting new patients

Locations

1209 N 3rd St
Marquette, MI 49855
Phone (906) 273-0964

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": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1821856675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553009",
            "telephone_number": "906-273-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553009",
            "telephone_number": "906-273-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALYSSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AL",
            "last_name": "GRAY",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.