MS. GRAY JESSIMAN LLMSW
NPI 1124764873
Social Worker - Clinical in Saint Clair Shores, MI

Active since May 06, 2022
23100 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48080(586) 335-2006 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, May 6, 2022 (2 updates tracked since 2022).

About Ms. Gray Jessiman Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GRAY JESSIMAN LLMSW (NPI 1124764873) is an individual clinical provider in Saint Clair Shores, Michigan, licensed in Michigan (6851119812) and active in the NPI registry since May 2022. She maintains a secondary practice location in Grosse Pointe Farms.

NPPES Registry Identity

NPI1124764873
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. GRAY JESSIMANCredential: LLMSW
Location Address23100 JEFFERSON AVESaint Clair Shores, MI 48080-2756
Mailing Address294 Touraine RdGrosse Pointe Farms, MI 48236-3363 · (720) 539-4999
Sole ProprietorYes
Enumeration DateMay 6, 2022
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1124764873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6851119812
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedHealth EducatorTaxonomy 174H00000X
23100 JEFFERSON AVE, Saint Clair Shores, MI 48080

Secondary Practice Location 1

Location 1294 Touraine RdGrosse Pointe Farms, MI 48236-3363 · Phone (720) 539-4999

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080
Counselor (Professional)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080
Counselor (Professional)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080
Counselor (Mental Health)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080
Counselor (Mental Health)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gray Jessiman's NPI number?

The NPI number for Gray Jessiman is 1124764873. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Gray Jessiman located?

Gray Jessiman practices at 23100 Jefferson Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 335-2006.

What is Gray Jessiman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Gray Jessiman was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.