MR. LARRY G RAY (NPI# 1881844009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881844009 |
| Entity Type | Individual |
| Full Name | MR. LARRY G RAY |
| Credential | LCSW |
| Practice Address |
115 N. Cleveland Avenue Brookhaven MS 39601-2713 |
| Practice Telephone | 6018353306 |
| Practice Fax Number | 6018353342 |
| Mailing Telephone | 6018353306 |
| Mailing Fax Number | 6018353342 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C1141 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00123920 | 05 | |
| MS | 05923703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124146600 | Larry Harrison Ray | Dentist | 831 W Morgan St, 4278 Msc, Raleigh, NC 27699-4278 | 2007-03-26 |
| 1831257054 | Larry Dale Ray | Psychiatry & Neurology | 405 Nc 65, Reidsville, NC 27320 | 2006-12-04 |
| 1720029861 | Larry Graydon Ray Jr. | Internal Medicine | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2006-06-09 |
| Street Address |
115 N. CLEVELAND AVENUE |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| 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 |
|---|---|---|---|---|
| 1699390492 | Latonia A Jennings | Social Worker | 2724 Brookhaven Vw Ne, Brookhaven, GA 30319-5402 | 2020-06-08 |
| 1821553132 | Lauren Nicole Stingily | Social Worker | 1661 Berkford Ct Ne, Brookhaven, GA 30319-1707 | 2019-01-31 |
| 1740768019 | Ruth Winifred Hendry | Social Worker | 713 Creekside Dr, Brookhaven, PA 19015-2329 | 2018-07-30 |
| 1386160901 | Shannon Rose Marshall | Social Worker | 9 Newey Ln, Brookhaven, NY 11719-9634 | 2017-08-15 |
| 1083073712 | Ronnie Klein | Social Worker | 3639 Ashcroft Bnd Ne, Atlanta, Brookhaven, GA 30319-2172 | 2016-02-23 |
| 1720471709 | Valarie Smith | Social Worker | 2801 Buford Hwy Ne Ste 501, Brookhaven, GA 30329-2137 | 2015-03-14 |
| 1275944068 | Simone Sobel | Social Worker | 2801 Buford Hwy Ne Ste 290, Brookhaven, GA 30329-2142 | 2014-05-14 |
| 1508297482 | Paul David Pangburn Jr. | Social Worker | 712 Ricks Cir, Brookhaven, PA 19015-1426 | 2013-12-03 |
| 1821395724 | Deborah Ann Deverall | Social Worker | 240 S Country Rd, Brookhaven, NY 11719-9700 | 2011-02-12 |
| 1841497419 | Julie Kaye Vadino | Social Worker | 142 W Forrestview Rd, Brookhaven, PA 19015-3111 | 2007-06-28 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on MR. LARRY G RAY.
| 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.