Healthcare Provider Details

I. General information

NPI: 1083984835
Provider Name (Legal Business Name): APRYL M GRAY LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 POST RD STE 215A
WARWICK RI
02886-3145
US

IV. Provider business mailing address

40 CEDAR POND DR APT 7
WARWICK RI
02886-0879
US

V. Phone/Fax

Practice location:
  • Phone: 401-681-4637
  • Fax:
Mailing address:
  • Phone: 401-439-9750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW02420
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: