MR. RUSSELL CLINTON GRAY LCSW
NPI 1144524885
Social Worker - Clinical in West Chazy, NY

Q: What is Russell Gray's NPI number?

The NPI number for Russell Gray is 1144524885. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Q: What is Russell Gray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Russell Gray was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since January 10, 2011

37 EAGLE WAY, WEST CHAZY, NY 12992(518) 563-8035(518) 563-8087 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Russell Clinton Gray Lcsw NPPES

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

MR. RUSSELL CLINTON GRAY LCSW (NPI 1144524885) is an individual clinical provider in West Chazy, New York, licensed in New York (R069891-1) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1144524885

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. RUSSELL CLINTON GRAYCredential: LCSW

Location Address37 EAGLE WAYWest Chazy, NY 12992-2562

Mailing Address37 Eagle WayWest Chazy, NY 12992-2562 · (518) 563-8035 · Fax (518) 563-8087

Phone(518) 563-8035

Fax(518) 563-8087

Sole ProprietorNo

Enumeration DateJanuary 10, 2011

✔ NPI 1144524885 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 NY · R069891-1

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 ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 011929001 (NY)

37 EAGLE WAY, West Chazy, NY 12992

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Other Providers at the Same Location NPPES 20

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

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