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Sera Gray, LMSW

Social Worker in Phoenix, AZ. Individual provider (NPI-1).

NPI number1841937331
StatusActive
Last updated in NPPESMay 16, 2022

Details

NPI
1841937331
Entity type
Individual (NPI-1)
Name
Sera Gray
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2022
Certification date
May 16, 2022
Last updated
May 16, 2022

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 codeDescriptionLicenseStatePrimary
104100000X Social WorkerLMSW-7128TAZYes

Practice location

3620 N 3rd St
Phoenix, AZ 85012-2020

Phone 602-230-7373 · Fax 602-257-8029

Mailing address

3620 N 3rd St
Phoenix, AZ 85012-2020

Phone 602-329-8250

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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