Provider Demographics
NPI:1700441417
Name:GRAY, ANNA GRIFFITH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:GRIFFITH
Last Name:GRAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4477 HUNTINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6609
Mailing Address - Country:US
Mailing Address - Phone:678-842-8264
Mailing Address - Fax:706-995-6873
Practice Address - Street 1:4477 HUNTINGTON CIR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6609
Practice Address - Country:US
Practice Address - Phone:770-634-6101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0058681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical