Shanna Gray in Brockton - Clinical

Shanna Gray - NPI 1255537932

Shanna Gray is a Clinical in Brockton, Massachusetts. Shanna Gray practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shanna Gray is 1255537932. The last update date is 2010-03-05.

Shanna Gray's current location address is 680 Centre St, Brockton, Massachusetts. You can contact this provider via phone number 5089417228 and fax number 5089416337. The mailing address for Shanna Gray is 680 Centre St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Shanna Gray
Address 680 Centre St, Brockton, Massachusetts
Phone Number 5089417228
Fax Number 5089416337
Sole Proprietor N
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1255537932
Provider Enumeration Date 2007-06-21
Last Updated Date 2010-03-05

Provider Mailing Address Detail

Address 680 Centre St
City Brockton
State Massachusetts (MA)
Post Code 23023308
Phone Number 5089417228
Fax Number 5089416337

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2030251
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Shanna Gray

What is the unique identifier code issued to Shanna Gray by the Centers for Medicare & Medicaid Services (CMS)?

The Shanna Gray has been assigned the NPI (National Provider Identifier) 1255537932. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Shanna Gray?

The Shanna Gray is situated at 680 Centre St, in the city of Brockton, state of MA, with the zip code 23023308.

What is Shanna Gray's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shanna Gray is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Shanna Gray receive its 1255537932 assignment?

The Shanna Gray was assigned its 1255537932 on 2007-06-21, which is the date when this unique identifier was issued to the organization.

When was the information regarding Shanna Gray most recently updated?

The details pertaining to the Shanna Gray, including its address, specialty, and other relevant information, were last refreshed on 2010-03-05.

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