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

Mr. Keith Robert Gray, LCSW

Individual provider Clinical Social Worker · NPI 1477520518

Mr. Keith Robert Gray, LCSW is a Clinical Social Worker in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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

10437 Innovation Dr Ste 309
Wauwatosa, WI 53226
Phone: (414) 454-0161
Fax: (414) 454-0162
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 7295-123 (WI)

Record details

NPI number1477520518
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESMarch 20, 2015

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