Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Campbell Ricker Gray, LICSW

Individual provider Clinical Social Worker · NPI 1639414774

Autumn Campbell Ricker Gray, LICSW is a Clinical Social Worker in Bedford, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

200 Springs Rd # 122
Bedford, MA 01730-1114
Phone: (781) 687-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Shaker Rd Ste B105, Shirley, MA 01464-2530 — (978) 206-1323

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 116382 (MA)
Clinical Social Worker Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X · Licence 116382 (MA)

Record details

NPI number1639414774
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 30, 2012
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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