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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUSSELL CLINTON GRAY, LCSW

Active

MR. RUSSELL CLINTON GRAY, LCSW is a Clinical Social Worker healthcare provider located in WEST CHAZY, New York. NPI 1144524885 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WEST CHAZY, NY

Registration Details

NPI Number
1144524885
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2011 (15.5672458984 yrs)
Last Updated
Jan 10, 2011
Licenses
R069891-1 (NY)
011929001 (NY)

Practice Information

Address
37 EAGLE WAY
WEST CHAZY, NY, 129922562
Browse NY providers · Browse ZIP 12992
Phone
5185638035
Fax
5185638087
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
School Social Worker

Other Clinical Social Worker Providers in WEST CHAZY, NY

Name Credential NPI
MS. VALERIE J. AINSWORTH LCSW 1285779660
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.