Autumn C Ricker Gray, LICSW
Social Worker, Clinical in Bedford, Massachusetts
1639414774- Practice location
- 200 Springs RD # 122, Bedford, MA 01730-1114
- Phone
- 781-687-2000
- Fax
- —
- Last updated
- October 24, 2024
Autumn Campbell Ricker Gray is a Social Worker, Clinical based in Bedford, MA. Autumn Campbell Ricker Gray practices in Bedford, MA and has the professional credentials of LICSW. The NPI Number for Autumn Campbell Ricker Gray is 1639414774 and holds a License No. 116382 (MA). The current practice location address for Autumn Campbell Ricker Gray is 200 Springs RD # 122, Bedford, MA 01730-1114 and can be reached out via phone at 781-687-2000.
Provider Profile Details
- NPI Number
- 1639414774
- Provider Name
- Autumn Campbell Ricker Gray
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Springs RD # 122, Bedford, MA 01730-1114
- Phone Number
- 781-687-2000
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 30, 2012
- Last Update Date
- October 24, 2024
- Certification Date
- October 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Springs RD # 122
Bedford, MA 01730-1114 - City
- Bedford
- State
- Massachusetts
- Zip
- 01730-1114
- Phone Number
- 781-687-2000
Provider Business Mailing Address Details
- Address
- 200 Springs RD # 122
Bedford, MA 01730-1114 - City
- Bedford
- State
- MA
- Zip
- 01730-1114
- Phone Number
- 781-687-2000
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 116382
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (3)
- 116382
- License State (3)
- MA
- Taxonomy (3)
- Social Worker · 104100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Bedford, MA
View all Social Worker, Clinical providers in Bedford →- Erin Brassil, LICSWSocial Worker, Clinical · NPI 1043900897
- Kevin M Beaudry, LICSWSocial Worker, Clinical · NPI 1306396494
- Miss Rachael Mcgovern, LICSWSocial Worker, Clinical · NPI 1346692829
- Mr. Andrew E Leonard, LICSWSocial Worker, Clinical · NPI 1457370843
- Mrs. Laura B Blake, LICSWSocial Worker, Clinical · NPI 1689804197
- Ms. Brianna Chamberland, LICSWSocial Worker, Clinical · NPI 1023535861
Frequently Asked Questions
What is the NPI number of Autumn C Ricker Gray, LICSW?
The NPI number of Autumn C Ricker Gray, LICSW is 1639414774. It was assigned on November 30, 2012 and is currently active in the NPPES registry.
What is the specialty of Autumn C Ricker Gray, LICSW?
Autumn C Ricker Gray, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116382.
Where does Autumn C Ricker Gray, LICSW practice?
The practice location is 200 Springs RD # 122, Bedford, MA 01730-1114. The office can be reached at 781-687-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639414774 directly on the NPPES registry website.