Provider Demographics
NPI:1497947592
Name:GRAY, SCOTT JOSEPH (LCSW)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:JOSEPH
Last Name:GRAY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 SALORN CV
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2384
Mailing Address - Country:US
Mailing Address - Phone:210-305-1221
Mailing Address - Fax:
Practice Address - Street 1:2804 SALORN CV
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-2384
Practice Address - Country:US
Practice Address - Phone:210-305-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA146311041C0700X
TX550331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical