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

Mrs. Kristen Shae Gregory, LICSW

Individual provider Mental Health Counselor · NPI 1104371053

Mrs. Kristen Shae Gregory, LICSW is a Mental Health Counselor in Decatur, Alabama. Works from 2 locations. Licensed in Alabama, Mississippi and Virginia.

Licensed in
AL, MS, VA
In the registry since
2016
Specialties on file
4
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

812 Kennilworth Rd SW
Decatur, AL 35603-1316
Phone: (256) 627-5188
Fax: (866) 268-4763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303d Beltline Pl Sw # 432, Decatur, AL 35603-1713 — (256) 627-5188

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0904020394 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence C11890 (MS)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4589C (AL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4589C (AL)

Record details

NPI number1104371053
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 22, 2016
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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