Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shawn Ryan Gray , LCSW

Social Worker β€’ Jacksonville, FL

Active NPI 1831441625 Individual Practitioner Male Practitioner
Practice location in NPPES

1536 N Jefferson St
Jacksonville, FL 322096525

Call 9046706900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1536 N Jefferson St

Jacksonville, FL 322096525

Telephone 9046706900
Organization at the Same NPPES Address or Phone
Gainesville Vamc Facility NPI 1992753008

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Salisbury, MD. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

296 active clinicians are listed under Social Worker with a practice address in Jacksonville, FL (5,486 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0.3% of these 296 clinicians have the CMS telehealth indicator.

1.4% of these 296 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-22
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES FL SW18511

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES MD 18423

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

2013 Northwood Dr

Salisbury, MD 218017882

Phone: 4103346687

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
NPI 1003202458

Doctor of Osteopathic Medicine (D.O.)

Dr. Riaz Ahmed , MD

Psychiatry & Neurology - Psychiatry

NPI 1023244381

Doctor of Medicine (M.D.)

Patricia Barrozo , ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1801174263

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

NPI 1306365143

Doctor of Osteopathic Medicine (D.O.)

Dr. Patrick Dwyer , MD

Family Medicine

NPI 1528145893

Doctor of Medicine (M.D.)

Amanda Forrest , LCSW

Social Worker - Clinical

NPI 1346575057

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 25, 2022

Registered at 1536 N JEFFERSON ST, JACKSONVILLE, FL 322096525 (Tel: 9046706900)

πŸ“
Updated Business Mailing Address August 25, 2022

Registered at 1536 N JEFFERSON ST, JACKSONVILLE, FL 322096525 (Tel: 9046706900)

πŸ‘€
Provider Name / Credentials Updated August 25, 2022

Recorded as SHAWN GRAY, LCSW

βœ…
NPI Profile Active October 04, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2012

Registered at 2013 NORTHWOOD DR, SALISBURY, MD 218017882 (Tel: 4103346687)

πŸ“
Business Mailing Address (Initial Record) October 04, 2012

Registered at 828 AIRPAX RD, BLDG B STE 300, CAMBRIDGE, MD 216136401 (Tel: 4102283929)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2012

Recorded as SHAWN GRAY, LGSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2012

Social Worker (license number reported to NPPES: MD 18423)

🟒
Initial NPI Registration & Enumeration October 04, 2012

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1831441625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2012
Last Update: August 25, 2022
Sole Proprietor: Yes

Mailing Address

1536 N Jefferson St

Jacksonville, FL 322096525

Phone: 9046706900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.