Jaclyn Gray

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04804 Issued in RI

Practice address

9 Court St
Bristol, RI 02809-2207

Phone

(401) 842-0009

NPI assigned

Sep 6, 2016

Last updated

May 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Karen Gieseke, PHD & Associates Inc.

  dba Comprehensive Psychological Services

  • Psychologist
  • Bristol, RI
  • NPI 1134203573
  NPD

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1952858144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COURT ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092207",
            "telephone_number": "401-864-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COURT ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092207",
            "telephone_number": "401-842-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn M Gallivan, ATC
• Laurie Galvin
• Berlyne Gervais, NP-C
• Karen Johnston Gieseke, PH.D.
• Hannah Goodman
• Greater Rhode Island Lymphatic Therapy, LLC
• Greentree Nursing and Rehab LLC (The Dawn Hill Home for Rehab and Healthcare)
• Bethany Griffith, PHARM. D.
• Geoffrey Robert Hamilton, MD
• Melodie Harmon, LICSW

• Clinical Social Worker in Bristol, RI
• Providers in Bristol, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.