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

Marissa Gray, LCSW

Individual provider Clinical Social Worker · NPI 1538722996

Marissa Gray, LCSW is a Clinical Social Worker in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
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

2501 Chatham Rd Ste N
Springfield, IL 62704-4188
Phone: (847) 834-9189
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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 149019189 (IL)

Record details

NPI number1538722996
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 20, 2019
Last updated in NPPESApril 30, 2023
Certification dateApril 30, 2023
Mailing address640 Windsor Rd, Glenview, IL 60025-4453

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