AMY L GRAY (LISW-S) – Clinical Social Worker, NPI 1558424515

AMY L GRAY (LISW-S) is a healthcare provider. based in Cambridge, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. 954452 (OH). The NPI Number for AMY L GRAY (LISW-S) is 1558424515

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
AMY L GRAY (LISW-S)
NPI
1558424515
Phone
(740) 705-1543
Address
69902 MOUNT HERMON RD
Enumeration Date
19 December 2006
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7407229416
Graduation Year
2000 (26 years ago)
PAC ID
7012918246
Professional Enrollment ID
I20070130000595
Address ID
OH438122803CO1100XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for AMY L GRAY (LISW-S)

  • Hermon Road, Cambridge, Guernsey County, Ohio, 43725, United States

    CAMBRIDGE, OH 437259464

    Phone: (740) 705-1543

    Type: Mailing

  • Fairy Falls Drive, Coshocton, Coshocton County, Ohio, 43812, United States

    COSHOCTON, OH 438122803

    Phone: (740) 722-9416

    Fax: (740) 722-9418

    Type: Location

  • 716 Adair Avenue

    Zanesville, OH 43701

    Phone: (740) 891-9006

    Fax: (740) 891-9007

    Type: Location

  • 224 Chestnut St

    Coshocton, OH 438121164

    Phone: (740) 705-1543

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070130000595IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43725)

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Reviews

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Frequently asked questions

Does AMY L GRAY (LISW-S) have a public NPI I can cite?
Public records show AMY L GRAY (LISW-S) under NPI 1558424515.
Should I treat AMY L GRAY (LISW-S) as an active provider?
Patients and plans typically see AMY L GRAY (LISW-S) as active in the national extract.
How should patients interpret AMY L GRAY (LISW-S)'s specialty?
The extract shows Clinical Social Worker for AMY L GRAY (LISW-S). Clinical services aligned with this taxonomy classification.
What city is tied to AMY L GRAY (LISW-S)?
The directory associates AMY L GRAY (LISW-S) with Cambridge, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for AMY L GRAY (LISW-S)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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