Adam Barrett Gray, L.C.S.W.
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1124385604
StatusActive
Last updated in NPPESJul 24, 2018
Details
- NPI
- 1124385604
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam Barrett Gray
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2012
- Last updated
- Jul 24, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149012560 | IL | Yes |
| 1041C0700X | Social Worker, Clinical | 076536-1 | NY | |
| 1041C0700X | Social Worker, Clinical | 65721 | CA |
Practice location
4003 N Broadway St2nd Floor
Chicago, IL 60613
Phone 773-828-9449 · Fax 773-834-8088
Mailing address
625 W Patterson AveApt 1e
Chicago, IL 60613-4471
Phone 734-834-0627 · Fax 773-834-8088
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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