MR. KEITH ROBERT GRAY (NPI# 1477520518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477520518 |
| Entity Type | Individual |
| Full Name | MR. KEITH ROBERT GRAY |
| Credential | LCSW |
| Practice Address |
10437 Innovation Drive. Ste 309 Wauwatosa WI 53226 |
| Mailing Address |
8617 W Burleigh St Milwaukee WI 53222-3719 |
| Practice Telephone | 4144540161 |
| Practice Fax Number | 4144540162 |
| Mailing Telephone | 4144540161 |
| Mailing Fax Number | 4144540162 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2015-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7295-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063465391 | Keith Gray | Optometrist | 1299 Southland Mall, Memphis, TN 38116-7807 | 2006-05-18 |
| 1033195177 | Keith A Gray | Internal Medicine | 100 W Gore Street, Suite 303, Orlando, FL 32806 | 2005-12-20 |
| 1235621434 | Keith Gray | Social Worker | 5301 Butler St Ste 100, Pittsburgh, PA 15201-2658 | 2018-06-04 |
| 1174966717 | Keith Daniel Gray | Anesthesiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2013-04-13 |
| 1841594595 | Keith B Gray II | Counselor | 8901 S Santa Fe Ave, # E, Oklahoma City, OK 73139-8413 | 2011-01-10 |
| 1497827513 | Keith A Gray | Physical Therapist | 1033 La Posada Dr, Suite 308, Austin, TX 78752-3842 | 2006-11-14 |
| 1235237843 | Keith D. Gray | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2006-09-20 |
| Street Address |
10437 INNOVATION DRIVE. STE 309 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174038954 | Shannon Marie James | Social Worker | 9730 W Bluemound Rd Ste 11, Wauwatosa, WI 53226-4455 | 2017-12-03 |
| 1922521186 | Two Willows Counseling LLC | Social Worker | 933 N Mayfair Rd Ste 315, Wauwatosa, WI 53226-3432 | 2017-07-19 |
| 1093131237 | Sarah Carson | Social Worker | 10012 W Capitol Dr Ste 101, Wauwatosa, WI 53222-1300 | 2014-03-12 |
| 1922441047 | Carolyn J Ruck | Social Worker | 10855 W Potter Rd Ste 25, Wauwatosa, WI 53226-3439 | 2013-04-08 |
| 1154696797 | Meghan P Bahr | Social Worker | 1220 Dewey Ave Bldg 13, Wauwatosa, WI 53213-2504 | 2012-03-15 |
| 1134446362 | Russell S Strelnick | Social Worker | 7117 Cedar Street, Wauwatosa, WI 53213-3714 | 2010-04-28 |
| 1548418775 | Amy Elizabeth Leidel | Social Worker | 2645 North Mayfair Road Suite 250, Wauwatosa, WI 53226 | 2008-08-29 |
| 1417167586 | Elizabeth Ann Hunkins | Social Worker | 1011 N Mayfair Rd Ste 304, Wauwatosa, WI 53226-3431 | 2007-05-23 |
| 1912126228 | Erin Meighan | Social Worker | 1220 Dewey Ave # 13, Wauwatosa, WI 53213-2504 | 2007-04-25 |
| 1770603847 | Bernard Fluhr | Social Worker | 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226-1322 | 2007-03-30 |
| Find all providers in WAUWATOSA | ||||
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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.