Individual provider Active NPI

Lisa M Gray, LCSW

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1831107002
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-004635 Issued in IL
Practice address
1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389
Phone
(630) 305-0464
Fax
(630) 305-0211
NPI assigned
Aug 4, 2006
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 149.004635 IL
Clinical Social Worker 1041C0700X 149-004635 IL Primary

Addresses

Primary practice location

1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389

Mailing address

1300 Iroquois Ave Ste 145
Naperville, IL 60563-1389
Phone (630) 305-0464

Other identifiers 1

IdentifierTypeStateIssuer
02204610OtherILBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20081215000578 IL Practitioner - Clinical Social Worker 7416019161 Practice locations: Naperville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1280 Iroquois Ave
Suite 102
Naperville, IL 60563-8559

1300 Iroquois Ave
Suite 145
Naperville, IL 60563-1389
Phone (630) 305-0464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-004635ILMDClinical Social Worker
149.004635ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Beth McLaughlin,LTD Clinical CurrentSince Nov 1, 2023 Accepting new patients

Locations

1280 Iroquois Ave
Ste 102
Naperville, IL 60563
Phone (630) 305-0464

1300 Iroquois Ave
Ste 145
Naperville, IL 60563
Phone (630) 305-0464

1831 Bay Scott Cir
Ste 105
Naperville, IL 60540
Phone (630) 305-0464

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, 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1831107002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE STE 145",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631389",
            "telephone_number": "630-305-0464",
            "fax_number": "630-305-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE STE 145",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631389",
            "telephone_number": "630-305-0464",
            "fax_number": "630-305-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.004635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-004635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "02204610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.