MARY M GRAY (NPI# 1194292953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194292953 |
| Entity Type | Individual |
| Full Name | MARY M GRAY |
| Credential | LMSW |
| Practice Address |
1121 Olivette Executive Pkwy Ste 205 Saint Louis MO 63132-3254 |
| Mailing Address |
13 Warson Ter Saint Louis MO 63124-1679 |
| Practice Telephone | 3149919058 |
| Mailing Telephone | 3147500415 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2017041035 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117394 | Mary A Gray | Technician | 613 N Jackson St, Ripley, MS 38663-1520 | 2019-11-06 |
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1467844670 | Mary Nicole Gray | Home Health | 4645 Slippery Rock Ln, Columbia, VA 23038-2325 | 2015-02-25 |
| 1467857359 | Mary Gray | Registered Nurse | 168 Melody Ln, Tonawanda, NY 14150-9110 | 2014-11-04 |
| 1326449406 | Mary Gray | Speech-Language Pathologist | 19800 Stafford Ave, Maple Heights, OH 44137-1829 | 2014-09-09 |
| 1295145324 | Mary L Gray | Counselor | 1322 Martin Luther King Jr Ave, Grambling, LA 71245-2323 | 2014-04-28 |
| 1538355730 | Mary Gray | Pharmacist | 415 N Lincoln Blvd, Hodgenville, KY 42748-1610 | 2007-09-20 |
| 1487692448 | Mary Helen Gray | Registered Nurse | 5775 Wayzaya Blvd, Suite 190, St. Louis Park, MN 55416 | 2006-06-03 |
| 1184625055 | Mary E Gray | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| 1659875995 | Mary Kathleen Elizabeth Gray | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2018-03-21 |
| Street Address |
1121 OLIVETTE EXECUTIVE PKWY STE 205 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548423 | Leah Myers | Social Worker | 121 Timbercrest Rd, Saint Louis, MO 63122-1311 | 2020-11-04 |
| 1891303483 | Danielle Annette Marvin | Social Worker | 3633 Mcree Ave # A, Saint Louis, MO 63110-2617 | 2020-07-20 |
| 1619441656 | Natasha D Ceballos | Social Worker | 4130 Lindell Blvd # Blvd1, Saint Louis, MO 63108-2914 | 2019-01-13 |
| 1881170850 | Kathleen Fiorini | Social Worker | 11775 Borman Dr, Saint Louis, MO 63146-4134 | 2018-07-12 |
| 1235630880 | Caroline Graham | Social Worker | 1205 Mackay Pl, Saint Louis, MO 63104-2407 | 2018-02-27 |
| 1447771266 | Justine L Carlson | Social Worker | 621 S New Ballas Rd Ste 2003b, Saint Louis, MO 63141-8265 | 2017-07-01 |
| 1801323126 | Joyce Lanise Poole | Social Worker | 4232 W Pine Blvd, Saint Louis, MO 63108-2840 | 2017-05-17 |
| 1528592938 | D'juan Huddleston Sr. | Social Worker | 11890 Hidden Lake Dr, Saint Louis, MO 63138-1202 | 2017-04-13 |
| 1831638550 | Sonia Nothmann | Social Worker | 4059 Shenandoah Ave Apt 2f, Saint Louis, MO 63110-3928 | 2017-02-14 |
| 1225575145 | Katherine Macleod | Social Worker | 6220 S Lindbergh Blvd Ste 300, Saint Louis, MO 63123-7839 | 2017-01-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.