CARA JEAN GRAY, L.C.S.W., LLC (NPI# 1699201756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699201756 |
| Entity Type | Organization |
| Organization Name | CARA JEAN GRAY, L.C.S.W., LLC |
| Practice Address |
1606 Gloucester St Brunswick GA 31520-7145 |
| Mailing Address |
141 Walden Shores Ln Brunswick GA 31525-4673 |
| Practice Telephone | 9125061163 |
| Mailing Telephone | 9125061163 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | CARAJEAN GRAY (OWNER) |
| Authorized Official Telephone | 9125061163 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CSW006049 | GA | Agencies |
| Street Address |
1606 GLOUCESTER ST |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-7145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053340539 | David J Faulk | Psychiatry & Neurology | 1606 Gloucester St, Brunswick, GA 31520-7145 | 2006-06-30 |
| 1205303609 | Lauren Pearl | Nurse Practitioner | 1606 Gloucester St, Brunswick, GA 31520-7145 | 2018-10-24 |
| 1417454034 | Hannah Leann Naude | Nurse Practitioner | 1606 Gloucester St, Brunswick, GA 31520 | 2018-04-10 |
| 1467806166 | David C. Arens, Lcsw | Social Worker | 1606 Gloucester St, Brunswick, GA 31520-7145 | 2016-04-19 |
| 1821456583 | Tamsyn O'flynn, Aprn | Nurse Practitioner | 1606 Gloucester St, Brunswick, GA 31520-7145 | 2016-02-09 |
| 1376700674 | Steven A Mansfield | Counselor | 1606 Gloucester St, Brunswick, GA 31520 | 2008-05-22 |
| 1770596256 | David J Faulk Md | Psychiatry & Neurology | 1606 Gloucester St, Brunswick, GA 31520-7145 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710380993 | Gateway Behavioral Health | Community/Behavioral Health | 6129 New Jesup Hwy, Brunswick, GA 31523-4201 | 2014-10-02 |
| 1396153136 | Southeast Support Services | Community/Behavioral Health | 139 Altama Connector # 193, Brunswick, GA 31525-1888 | 2014-07-24 |
| 1033556493 | The Resiliency Institute, Inc | Community/Behavioral Health | 706 G St, Suite 101, Brunswick, GA 31520-6749 | 2013-05-25 |
| 1528312451 | Cantor LLC. | Community/Behavioral Health | 1638 Norwich St, Brunswick, GA 31520 | 2012-10-30 |
| 1821359993 | 1 R.u.s.h. Inc. | Community/Behavioral Health | 3441 Cypress Mill Rd Ste 203-4, Brunswick, GA 31520-2878 | 2012-06-05 |
| 1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
| 1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
| 1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
| 1750583670 | Morningstar Children and Family Services, Inc. | Community/Behavioral Health | 3596 Darien Hwy, Suites 4 & 5, Brunswick, GA 31525-3034 | 2007-06-04 |
| 1760683502 | The Resiliency Institiute | Community/Behavioral Health | 501 Mansfield St, Brunswick, GA 31520 | 2007-05-30 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on CARA JEAN GRAY, L.C.S.W., LLC.
| 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.