Individual provider Active NPI

Lindsey Dawn Gray, LCSW

  • Clinical Social Worker
  • Bangor, ME
National Provider Identifier
1841714102
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW8342 Issued in FL
Practice address
351 Maple St
Bangor, ME 04401-4035
Phone
(904) 662-0126
NPI assigned
Jul 28, 2017
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X
Clinical Social Worker 1041C0700X ISW8342 FL Primary

Addresses

Primary practice location

351 Maple St
Bangor, ME 04401-4035

Mailing address

351 Maple St
Bangor, ME 04401-4035
Phone (904) 662-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180326001064 FL Practitioner - Clinical Social Worker 3476815713 Reassigns benefits to 1 organization
Practice locations: Jacksonville, FL
I20220411000384 ME Practitioner - Clinical Social Worker 3476815713 Reassigns benefits to 4 organizations
Practice locations: Bangor, ME

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW8342FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Hospital Corp CurrentSince Feb 6, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 1, 2024 Accepting new patients
North Florida Assessment and Counseling Inc Clinical CurrentSince Jul 9, 2018 Accepting new patients
Sweetser CurrentSince Sep 4, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Ace-Agency for Community Empowerment , Inc. Community/Behavioral Health PastSince Mar 26, 2018 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: lindseychapman@tdh.allscriptsdirect.net

Organizations & group practices 10

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1841714102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MAPLE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014035",
            "telephone_number": "904-662-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MAPLE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014035",
            "telephone_number": "904-662-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LINDSEY",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW8342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.