Mr Russell Clinton Gray, LCSW is a
Social Worker - Clinical based in West Chazy, New York. Mr Russell Clinton Gray is licensed to practice in New York (license number R069891-1) and his current practice location is
37 Eagle Way, West Chazy, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 563-8035.
NPI number for Mr Russell Clinton Gray is 1144524885 and his current mailing address is 37 Eagle Way, West Chazy, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144524885.
Healthcare Provider's Profile
| Full Name | Mr Russell Clinton Gray |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 37 Eagle Way, West Chazy, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144524885
- Provider Enumeration Date: 01/10/2011
- Last Update Date: 01/10/2011
Medical Identifiers
Medical identifiers for Mr Russell Clinton Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144524885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | R069891-1 (New York) | Primary |
| 1041S0200X | Social Worker - School | 011929001 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Russell Clinton Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Russell Clinton Gray, LCSW
37 Eagle Way,
West Chazy, NY 12992-2562
Ph: (518) 563-8035 | Mr Russell Clinton Gray, LCSW
37 Eagle Way,
West Chazy, NY 12992-2562
Ph: (518) 563-8035 |
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