Sara Gray, LSW is a
Social Worker based in Middletown, Ohio. Sara Gray is licensed to practice in Ohio (license number S.0010199) and her current practice location is
4464 S Dixie Hwy, Middletown, Ohio. She can be reached at her office (for appointments etc.) via phone at
(513) 649-8008.
NPI number for Sara Gray is 1447797220 and her current mailing address is 4464 S Dixie Hwy, Middletown, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447797220.
Healthcare Provider's Profile
| Full Name | Sara Gray |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 4464 S Dixie Hwy, Middletown, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447797220
- Provider Enumeration Date: 01/31/2017
- Last Update Date: 02/08/2017
Medical Identifiers
Medical identifiers for Sara Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447797220 | NPI | - | NPPES |
| 01-0693 | Other | OH | CARF CERTIFICATION |
| 0074946 | Other | OH | MEDICAID- ODMH |
| 0074861 | Other | OH | MEDICAID- ODADAS |
| H130910 | Other | OH | MEDICARE GROUP PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | S.0010199 (Ohio) | Secondary |
| 104100000X | Social Worker | S.0010199 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.923222 (Ohio) | 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. Sara 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 |
|---|
Sara Gray, LSW
4464 S Dixie Hwy,
Middletown, OH 45005-5464
Ph: (513) 649-8008 | Sara Gray, LSW
4464 S Dixie Hwy,
Middletown, OH 45005-5464
Ph: (513) 649-8008 |
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