Madeline Marie Gray, LMSW
Social Worker, Clinical in Southaven, MS. Individual provider (NPI-1).
NPI number1649005265
StatusActive
Last updated in NPPESMar 20, 2025
Details
- NPI
- 1649005265
- Entity type
- Individual (NPI-1)
- Name
- Madeline Marie Gray
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Mar 20, 2025
- Last updated
- Mar 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 | M11215 | MS | Yes |
Other names
- Madeline Marie Jones (Former Name)
Practice location
8626 Airways BlvdSouthaven, MS 38671-2603
Phone 662-772-5937 · Fax 662-772-5940
Mailing address
8626 Airways BlvdSouthaven, MS 38671-2603
Phone 662-772-5937 · Fax 662-772-5940
Is something wrong?
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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All 35 Clinical Social Worker providers in Southaven · All 1,578 providers in Southaven
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