AUTUMN CAMPBELL RICKER GRAY LICSW
NPI 1639414774
Social Worker - Clinical in Bedford, MA

Q: What is Autumn Ricker Gray's NPI number?

The NPI number for Autumn Ricker Gray is 1639414774. It was assigned to this individual provider in the NPPES registry on November 30, 2012.

Q: What is Autumn Ricker Gray's specialty?

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

Active since November 30, 2012

200 SPRINGS RD # 122, BEDFORD, MA 01730(781) 687-2000 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Autumn Campbell Ricker Gray Licsw NPPES

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

AUTUMN CAMPBELL RICKER GRAY LICSW (NPI 1639414774) is an individual clinical provider in Bedford, Massachusetts, licensed in Massachusetts (116382) and active in the NPI registry since November 2012. She maintains a secondary practice location in Shirley.

NPPES Registry Identity

NPI1639414774

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAUTUMN CAMPBELL RICKER GRAYCredential: LICSW

Location Address200 SPRINGS RD # 122Bedford, MA 01730-1114

Mailing Address200 Springs Rd # 122Bedford, MA 01730-1114 · (781) 687-2000

Phone(781) 687-2000

Sole ProprietorYes

Enumeration DateNovember 30, 2012

Last NPPES UpdateOctober 24, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1639414774 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 MA · 116382

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 WorkerTaxonomy 104100000X · License 116382 (MA)

200 SPRINGS RD # 122, Bedford, MA 01730

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Secondary Practice Location 1

Location 12 Shaker Rd Ste B105Shirley, MA 01464-2530 · Phone (978) 206-1323

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Other Providers at the Same Location NPPES 12

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

CARRIE ANDRESON LICSW

Social Worker (Clinical)