JACQUELINE GRAY (NPI# 1235510017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235510017 |
| Entity Type | Individual |
| Full Name | JACQUELINE GRAY |
| Credential | LMSW |
| Practice Address |
100 Nb Gratiot Ave Mount Clemens MI 48043-2301 |
| Practice Telephone | 5867832950 |
| Practice Fax Number | 5866904333 |
| Mailing Telephone | (586) 690-4333 |
| Mailing Fax Number | 5867832950 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801097979 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 79 W Alexandrine St, Detroit, MI 482012015 | 3138315535 | 3138312608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457808545 | Jacqueline Gray | Nurse Practitioner | 5420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3373 | 2016-09-06 |
| 1780065946 | Jacqueline Noel Gray | Military Health Care Provider | 1972 State Route 73, Peebles, OH 45660-9587 | 2015-06-13 |
| 1265835847 | Jacqueline Gray | Nurse's Aide | 4154 Wilmington Rd, South Euclid, OH 44121-3137 | 2014-09-26 |
| 1669948543 | Jacqueline Rebecca Gray | Registered Nurse | 13030 121st Way Ne, Kirkland, WA 98034-3008 | 2018-10-18 |
| 1962897843 | Jacqueline A Gray | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2015-03-30 |
| 1881094522 | Jacqueline Gray | Case Manager/Care Coordinator | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-08-29 |
| 1508283797 | Jacqueline Gray | Behavioral Analyst | 3636 Las Vegas Blvd N, Suite B, Las Vegas, NV 89115-1555 | 2014-03-25 |
| 1770701393 | Jacqueline Gray | Marriage & Family Therapist | 2960 Camino Diablo, Suite 200, Walnut Creek, CA 94597-3988 | 2007-04-20 |
| 1346354297 | Jacqueline J Gray | Pediatrics | 331 N Breiel Blvd, Middletown, OH 45042 | 2006-08-18 |
| 1124066725 | Jacqueline Mary Gray | Psychologist | 5212 Katella Ave, Suite #202, Los Alamitos, CA 90720-2828 | 2006-06-03 |
| Street Address |
100 NB GRATIOT AVE |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548211535 | Renewal Christian Counseling Inc | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2006-05-13 |
| 1013576446 | Terrence B Flint | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2019-06-10 |
| 1003475617 | Renewal Christian Counseling Inc | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2019-06-07 |
| 1114467479 | Arielle Ciampichini-trojanek | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2017-03-06 |
| 1588108047 | Yvette Rene Caldwell | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043 | 2016-12-16 |
| 1548648322 | Renewal Christian Counseling Inc | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2015-05-12 |
| 1780921932 | Tierra J Emerson | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2013-01-08 |
| 1346592938 | Necole N Jamison | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2012-10-08 |
| 1376824359 | Alana M Brayboy | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2011-09-02 |
| 1447461298 | Janet M Smith | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| 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 |
|---|---|---|---|---|
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1073091435 | Nancy M Harshfield | Social Worker | 117 Cass Ave Ste 206, Mount Clemens, MI 48043-8803 | 2018-07-29 |
| 1558848044 | Amanda Stamm, Lmsw | Social Worker | 15 N Walnut St Ste 201, Mount Clemens, MI 48043-5681 | 2018-07-26 |
| 1609238476 | Rosalyn Denise Capps | Social Worker | 45 Rathbone St, Mount Clemens, MI 48043-5959 | 2016-03-22 |
| 1326425372 | Joseph Emanuel Hines | Social Worker | 148 S Main St Ste 103c, Mount Clemens, MI 48043-7900 | 2015-04-29 |
| 1033530282 | Patricia Ann Szymanski | Social Worker | 1250 Burlington Dr, Mount Clemens, MI 48043-6523 | 2013-12-13 |
| 1891047122 | Chastity Walker | Social Worker | 26 Ellwood St, Mount Clemens, MI 48043-1413 | 2012-10-10 |
| 1366793416 | Becky Pitters | Social Worker | 1329 Kingsley St, Mount Clemens, MI 48043-3052 | 2012-09-28 |
| 1437429404 | Kristin Horton | Social Worker | 2 Crocker Blvd Ste 101, Mount Clemens, MI 48043-2558 | 2012-01-09 |
| 1548387061 | Melinda Kay Ryde | Social Worker | 175 N Groesbeck Hwy Unit 175-f, Mount Clemens, MI 48043 | 2007-03-22 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on JACQUELINE GRAY.
| 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.