Active NPI
Leia R Adams-Gray, LMSW
- Social Worker
- Palestine, TX
National Provider Identifier
1891409223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 43131
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43131 | Other | ID | IDAHO BOARD OF SOCIAL WORK EXAMINERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 43131 | ID | MD | Social Worker |
| 52215 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.