Lora K Gray, LCSW | |
1901 Willow St, Vincennes, IN 47591-4277 | |
(812) 885-2720 | |
(812) 885-2723 |
Full Name | Lora K Gray |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1901 Willow St, Vincennes, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043218647 | NPI | - | NPPES |
364440 | Other | IN | MHN |
000000369957 | Other | IN | ANTHEM BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34004993A (Indiana) | Primary |
Entity Name | Good Samaritan Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639176373 PECOS PAC ID: 9436061918 Enrollment ID: O20031204000723 |
Entity Name | Moxie Professional Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144701996 PECOS PAC ID: 3072866284 Enrollment ID: O20181105001143 |
Mailing Address | Practice Location Address |
---|---|
Lora K Gray, LCSW 515 Bayou St, Vincennes, IN 47591-1034 Ph: (812) 886-6800 | Lora K Gray, LCSW 1901 Willow St, Vincennes, IN 47591-4277 Ph: (812) 885-2720 |
Robert T Evans, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Buntin St, Vincennes, IN 47591 Phone: 812-885-2700 Fax: 812-885-2716 | |
Melinda F Combs, LCSW, CADAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 Bayou St, Vincennes, IN 47591 Phone: 812-886-6800 Fax: 812-886-6809 | |
Jane E Melvin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Buntin St, Vincennes, IN 47591 Phone: 812-885-2700 Fax: 812-885-2716 | |
Mrs. Beverly M Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Buntin St, Suite 1, Vincennes, IN 47591 Phone: 812-885-2718 Fax: 812-885-2719 | |
Audra L Bartelt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 121 Buntin St Ste 1, Vincennes, IN 47591 Phone: 812-885-2718 Fax: 812-885-2727 | |
Jackie Ann Mowrer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Buntin St, Vincennes, IN 47591 Phone: 812-885-2700 Fax: 812-885-2716 |