Mrs Kristen Shae Gregory, LICSW - in Decatur, AL

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Mrs Kristen Shae Gregory, LICSW is a Counselor - Mental Health based in Decatur, Alabama. Mrs Kristen Shae Gregory is licensed to practice in Alabama (license number 4589C) and her current practice location is 812 Kennilworth Rd Sw, Decatur, Alabama. She can be reached at her office (for appointments etc.) via phone at (256) 627-5188.

NPI number for Mrs Kristen Shae Gregory is 1104371053 and her current mailing address is 303d Beltline Pl Sw # 432, Decatur, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104371053.

Contact Information

Mrs Kristen Shae Gregory, LICSW
812 Kennilworth Rd Sw,
Decatur, AL 35603-1316
(256) 627-5188
(866) 268-4763

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Healthcare Provider's Profile

Full NameMrs Kristen Shae Gregory
GenderFemale
SpecialityCounselor - Mental Health
Location812 Kennilworth Rd Sw, Decatur, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104371053
  • Provider Enumeration Date: 08/22/2016
  • Last Update Date: 02/23/2026

Medical Identifiers

Medical identifiers for Mrs Kristen Shae Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104371053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 4589C (Alabama)Secondary
101YM0800XCounselor - Mental Health 4589C (Alabama)Primary

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. Mrs Kristen Shae Gregory 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 AddressPractice Location Address
Mrs Kristen Shae Gregory, LICSW
303d Beltline Pl Sw # 432,
Decatur, AL 35603-1713

Ph: (256) 627-5188		Mrs Kristen Shae Gregory, LICSW
812 Kennilworth Rd Sw,
Decatur, AL 35603-1316

Ph: (256) 627-5188

Reviews and Comments



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