Individual provider · Type 1 NPI
Mary M. Gray, LCSW
Clinical Social Worker · St. Louis, MO
Practice location
1121 Olivette Executive Pkwy Ste 205
St. Louis, MO 63132-3254
Fax (314) 993-2050
Mailing address
841 N Kirkwood Rd
St. Louis, MO 63122-2639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 2017041035 (MO) |
| Clinical Social Worker Primary | 1041C0700X | 2020038785 (MO) |
Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1194292953
Mary M. Gray, LCSW's National Provider Identifier is 1194292953, issued on Oct 30, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Feb 1, 2021.