Provider Demographics
NPI:1730980392
Name:GRAY, BELINDA (LSW)
Entity type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:
Last Name:GRAY
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PAINE ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-3254
Mailing Address - Country:US
Mailing Address - Phone:216-926-3282
Mailing Address - Fax:
Practice Address - Street 1:1500 PAINE ST
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-3254
Practice Address - Country:US
Practice Address - Phone:216-926-3282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS16002581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical