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

Shannon Gray, LSW

Individual provider Social Worker · NPI 1083568372

Shannon Gray, LSW is a Social Worker in Philadelphia, Pennsylvania. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone: (215) 823-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL07163700 (NJ)

Record details

NPI number1083568372
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

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