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EBONY GRAY BSW
NPI 1114374865
Case Manager/Care Coordinator in Fort Mill, SC

Active since May 23, 2016
885 GOLD HILL RD # 3119, FORT MILL, SC 29708(803) 280-3646 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Dec 9, 2025, Feb 25, 2021 (3 updates tracked since 2021).

About Ebony Gray Bsw NPPES

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

EBONY GRAY BSW (NPI 1114374865) is an individual case manager/care coordinator provider in Fort Mill, South Carolina and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1114374865
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEBONY GRAYCredential: BSW
Location Address885 GOLD HILL RD # 3119Fort Mill, SC 29708-7946
Mailing Address885 Gold Hill Rd # 3119Fort Mill, SC 29708-7946 · (803) 493-9389
Phone(803) 280-3646
Sole ProprietorYes
Enumeration DateMay 23, 2016
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1114374865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
885 GOLD HILL RD # 3119, Fort Mill, SC 29708
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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 Ebony Gray's NPI number?

The NPI number for Ebony Gray is 1114374865. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Ebony Gray located?

Ebony Gray practices at 885 Gold Hill Rd # 3119, Fort Mill, SC 29708. The listed phone number is (803) 280-3646.

What is Ebony Gray's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ebony Gray was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.