ELLEN B GRAY PHD LCSW
NPI 1104938000
Social Worker - Clinical in Durham, NC

Active since August 31, 2006Opted out of Medicare · through Jan 6, 2028
1821 HILLANDALE RD STE 1B-274, DURHAM, NC 27705(919) 391-4313(949) 577-4695 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellen B Gray Phd Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN B GRAY PHD LCSW (NPI 1104938000) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C003409) and active in the NPI registry since August 2006. She has opted out of Medicare through January 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104938000
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN B GRAYCredential: PHD LCSW
Location Address1821 HILLANDALE RD STE 1B-274Durham, NC 27705-2659
Mailing Address1821 Hillandale Rd Ste 1b-274Durham, NC 27705-2659 · (919) 391-4313 · Fax (949) 577-4695
Fax(949) 577-4695
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
NPI 1104938000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C003409
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1821 HILLANDALE RD STE 1B-274, Durham, NC 27705

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ellen B Gray Phd Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2016 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2016
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Gray's NPI number?

The NPI number for Ellen Gray is 1104938000. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Ellen Gray located?

Ellen Gray practices at 1821 Hillandale Rd Ste 1b-274, Durham, NC 27705. The listed phone number is (919) 391-4313.

What is Ellen Gray's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ellen Gray enrolled in Medicare?

No. Ellen Gray has opted out of Medicare through January 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ellen Gray accept?

Health plans from Providence Health Plan and UnitedHealthcare list Ellen Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Gray was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.