Active NPI
Lisa Kay Gray, LMSW
- Clinical Social Worker
- Caldwell, ID
National Provider Identifier
1891580825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9571751
- Practice address
- 13963 Purple Sage Rd
Caldwell, ID 83607-7669 - Phone
- (208) 600-7286
- NPI assigned
- Apr 10, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9571751 | ID | Primary |
Addresses
Primary practice location
13963 Purple Sage Rd
Caldwell, ID 83607-7669
Mailing address
1364 S Edgewater Cir Ste 101
Nampa, ID 83686-2982
Phone (208) 600-7286
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 |
|---|---|---|---|
| 9571751 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1891580825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 S EDGEWATER CIR STE 101",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862982",
"telephone_number": "208-600-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13963 PURPLE SAGE RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836077669",
"telephone_number": "208-600-7286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "LISA",
"middle_name": "KAY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "9571751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.