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

Mary M Gray, LCSW

Individual provider Social Worker · NPI 1194292953

Mary M Gray, LCSW is a Social Worker in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
Specialties on file
2
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

1121 Olivette Executive Pkwy Ste 205
Saint Louis, MO 63132-3254
Phone: (314) 991-9058
Fax: (314) 993-2050
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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 2020038785 (MO)
Social Worker Taxonomy 104100000X · Licence 2017041035 (MO)

Record details

NPI number1194292953
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 30, 2018
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

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