JACQUELINE GRAY LMSW
NPI 1235510017
Social Worker - Clinical in Mount Clemens, MI

Q: What is Jacqueline Gray's NPI number?

The NPI number for Jacqueline Gray is 1235510017. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Q: What is Jacqueline 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 Jacqueline Gray was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 17, 2015

100 NB GRATIOT AVE, MOUNT CLEMENS, MI 48043(586) 783-2950(586) 690-4333 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 23, 2017 (3 updates tracked since 2017).

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About Jacqueline Gray Lmsw NPPES

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

JACQUELINE GRAY LMSW (NPI 1235510017) is an individual clinical provider in Mount Clemens, Michigan, licensed in Michigan (6801097979) and active in the NPI registry since June 2015. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1235510017

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELINE GRAYCredential: LMSW

Location Address100 NB GRATIOT AVEMount Clemens, MI 48043-2301

Mailing Address100 Nb Gratiot AveMount Clemens, MI 48043-2301 · (586) 690-4333 · Fax (586) 783-2950

Phone(586) 783-2950

Fax(586) 690-4333

Sole ProprietorNo

Enumeration DateJune 17, 2015

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1235510017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801097979

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.

100 NB GRATIOT AVE, Mount Clemens, MI 48043

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Secondary Practice Location 1

Location 179 W Alexandrine StDetroit, MI 48201-2015 · Phone (313) 831-5535 · Fax (313) 831-2608

Other Providers at the Same Location NPPES 18

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

RENEWAL CHRISTIAN COUNSELING INC

Clinic/Center (Mental Health (Including Community Mental Health Center))