Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lettie Denise Gray, MSW, LCSW, LCAC, MAC

Individual provider Clinical Social Worker · NPI 1821665514

Lettie Denise Gray, MSW, LCSW, LCAC, MAC is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2008, 18 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2622 Lake Ave Ste 1
Fort Wayne, IN 46805-5410
Phone: (260) 299-3160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3406620A (IN)

Record details

NPI number1821665514
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , LCAC , MAC
Sole proprietorYes
NPI enumeratedJune 10, 2021
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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