Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Laraedo Gray

Individual provider Clinical Social Worker · NPI 1316858632

Laraedo Gray is a Clinical Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone: (833) 855-9973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-24030 (AZ)

Record details

NPI number1316858632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 15, 2026
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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