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Physician Compare National (NPI:1659451532)

HEALTHCARE PROVIDER: DORCAS GRAY LCSW-C,BCD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1659451532
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0840234258
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050616000569
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GRAY
Individual professional last name
Provider First Name DORCAS
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text CSW
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1971
Individual professional's medical school graduation year
Primary Specialty CLINICAL SOCIAL WORKER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 139 MAIN ST
Group Practice or individual's line 1 address
Line 2 Street Address UNIT 610
Group Practice or individual's line 2 address
City BRATTLEBORO
Group Practice or individual's city
State VT
Group Practice or individual's state
Zip Code 053012800
Group Practice or individual's zip code (9 digits when available)
Phone Number 8022570400
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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