Gypsy Ray LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GYPSY RAY LCSW LLC

Practice address

118 E 7TH St Ste 2D
Anaconda, MT 59711-2913

Phone

(406) 880-0977

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Gypsy S Ray, LCSWNPI 1215210851

Title

Owner

Phone

(406) 880-0977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gypsy S Ray, LCSW

  • Clinical Social Worker
  • Anaconda, MT
  • NPI 1215210851
  Medicare reassignment NPD Authorized official
• Amy Gault, MSW

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1376118661
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1841753522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LAKESHORE DR",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597119093",
            "telephone_number": "406-880-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 7TH ST STE 2D",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112913",
            "telephone_number": "406-880-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYPSY RAY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "GYPSY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-880-0977",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra A Gorman-Badar, PT
• Aleisha Gornick, PT, DPT
• Kirstie Jenae Gorthy, CRNA
• Matthew T Graf, M.D.
• Marcella E Grayson, L.C.S.W., L.A.C
• Myranda Hardy, LCSW
• Shelby Hare, DPT
• Daniel M Hartmann, MD
• Haley Headley
• Hearthstone, Inc.

• Clinical Social Worker in Anaconda, MT
• Providers in Anaconda, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.