KANDICE DOMINIQUE GRAY
NPI 1396016903
Social Worker - Clinical in Long Beach, CA
About Kandice Dominique Gray NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANDICE DOMINIQUE GRAY (NPI 1396016903) is an individual clinical provider in Long Beach, California, licensed in California (LCSW90095) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kandice Dominique Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kandice Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30339
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BEACH, CA 90815
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 Kandice Gray's NPI number?
The NPI number for Kandice Gray is 1396016903. It was assigned to this individual provider in the NPPES registry on January 13, 2012.
Where is Kandice Gray located?
Kandice Gray practices at 1777 N Bellflower Blvd Ste 105, Long Beach, CA 90815. The listed phone number is (323) 402-1803.
What is Kandice Gray's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kandice Gray enrolled in Medicare?
Yes. Kandice Gray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kandice Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kandice Gray reassigns Medicare benefits to Elevare In Georgia, LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kandice Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kandice Gray accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas and Priority Health list Kandice 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 Kandice Gray was last updated on September 1, 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.
# Kandice Dominique Gray · NPI 1396016903
Clinical provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since January 13, 2012.
## Identity
- **NPI:** 1396016903 (Entity type: Individual)
- **Enumerated:** January 13, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW90095 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1777 N BELLFLOWER BLVD STE 105, Long Beach, CA 90815-4019
- **Phone:** (323) 402-1803
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Elevare In Georgia, LLC (NPI 1740110998, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396016903) · Data from the CMS NPPES public registry.