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GRAY HEALTH INC NPI 1053760108


NPI Information

NPI: 1053760108
Provider Name: GRAY HEALTH INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5214 N WESTERN AVE STE 303
CHICAGO, IL
ZIP 60625
Phone: (773) 373-9175
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GRAY HEALTH INC is a clinical social worker in Chicago, IL. The provider is 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. GRAY HEALTH INC NPI is 1053760108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5214 N WESTERN AVE STE 303
CHICAGO, IL
ZIP 60625-592
Phone: (773) 373-9175
Fax: (320) 205-1753

The provider's authorized official is Trover Gray Wilson .
The authorized official title is Owner/operator and has the following contact phone number (773) 373-9175.

The enumeration date for this NPI number is 6/9/2016 and was last updated on 5/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical149015915ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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