Brenda Latisha Gray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12818-C Issued in NV

Practice address

2755 E Desert Inn Rd, Ste 130
Las Vegas, NV 89121-3690

Phone

(702) 490-9009

Fax

(866) 737-6147

NPI assigned

Sep 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pro-Health Therapeutic & Empowerment Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1013330695
  NPD (past)
• Pro-Health Therapeutic & Empowerment Services LLC

  • Community Health Worker
  • Las Vegas, NV
  • NPI 1194645598
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1881317360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 ARMAND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296414",
            "telephone_number": "702-785-2552",
            "fax_number": "866-737-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 E DESERT INN RD, STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213690",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 W Horizon Ridge Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522870",
            "country_code": "US",
            "telephone_number": "702-998-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRENDA",
        "middle_name": "LATISHA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12818-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arika Marquez Gray
• Avauna Gray
• Beverly Gray
• Brandi Marie Gray, LMSW
• Brenda G Gray
• Brianna Taylor Gray
• Carnation Gray
• Charles Tykee Gray
• Daejanae Gray
• Darenejah U Gray

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.