Individual provider Active NPI

Leia R Adams-Gray, LMSW

  • Social Worker
  • Palestine, TX
National Provider Identifier
1891409223
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
43131 Issued in ID
Practice address
1017 Hilltop Dr
Palestine, TX 75801-5229
Phone
(682) 401-9827
Fax
(208) 322-1029
NPI assigned
Jan 10, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 52215 TX
Social Worker 104100000X 43131 ID Primary

Addresses

Primary practice location

1017 Hilltop Dr
Palestine, TX 75801-5229

Mailing address

545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Phone (682) 401-9827

Other practice location 1

545 N Benjamin Ln Ste 185
Boise, ID 83704-9625
Phone (682) 401-9827

Other identifiers 1

IdentifierTypeStateIssuer
43131OtherIDIDAHO BOARD OF SOCIAL WORK EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leia.adams-gray@pathways.com Direct Pathways of Idaho, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43131IDMDSocial Worker
52215TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Idaho, LLC Past Accepting new patients

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1891409223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "682-401-9827",
            "fax_number": "208-322-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 HILLTOP DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015229",
            "telephone_number": "682-401-9827",
            "fax_number": "208-322-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 N Benjamin Ln Ste 185",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049625",
            "country_code": "US",
            "telephone_number": "682-401-9827",
            "fax_number": "208-322-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS-GRAY",
        "first_name": "LEIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "52215",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "43131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "43131",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leia.adams-gray@pathways.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Pathways of Idaho, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "545 N Benjamin Ln Ste 185",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837049625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.