Adam Barrett Gray, L.C.S.W.

Clinical Social Worker · Chicago, IL

Individual Active NPI

NPI number 1124385604

Practice location

4003 N Broadway St
2ND Floor
Chicago, IL 60613
Phone
(773) 828-9449
Fax
(773) 834-8088

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NPI record

NPI
1124385604
Entity type
Individual (Type 1)
Enumeration date
April 20, 2012
Last updated
July 24, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149012560 IL
Clinical Social Worker 1041C0700X 076536-1 NY
Clinical Social Worker 1041C0700X 65721 CA

Mailing address

625 W Patterson Ave
Apt 1e
Chicago, IL 60613-4471
Phone
(734) 834-0627
Fax
(773) 834-8088

About Adam Gray

Adam Barrett Gray, L.C.S.W. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 4003 N Broadway St, 2ND Floor, Chicago, IL 60613. The NPI number 1124385604 was assigned on April 20, 2012 and the record was last updated on July 24, 2018.

Adam Gray lists 3 licenses in the registry: #149012560 (IL) for Clinical Social Worker; #076536-1 (NY) for Clinical Social Worker; #65721 (CA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Adam Barrett Gray, L.C.S.W.?

The NPI number is 1124385604.

What is the phone number of Adam Gray?

The phone number listed for the practice location is (773) 828-9449.

Where is Adam Gray located?

4003 N Broadway St, 2ND Floor, Chicago, IL 60613.

What is the taxonomy code for Adam Gray?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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