Individual provider · Type 1 NPI

Autumn Campbell Ricker Gray, LICSW

Clinical Social Worker · Bedford, MA

NPI number 1639414774 Active

Practice location

200 Springs Rd # 122
Bedford, MA 01730-1114

Other practice locations

  • 2 Shaker Rd Ste B105, Shirley, MA 01464-2530 · (978) 206-1323

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X116382 (MA)
Social Worker 104100000X116382 (MA)

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 1639414774

Autumn Campbell Ricker Gray, LICSW's National Provider Identifier is 1639414774, issued on Nov 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bedford, MA. The record was last updated on Oct 24, 2024.