KANDICE DOMINIQUE GRAY
NPI 1396016903
Social Worker - Clinical in Long Beach, CA

Active since January 13, 2012PECOS Enrolled
1777 N BELLFLOWER BLVD STE 105, LONG BEACH, CA 90815(323) 402-1803 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2022, Aug 8, 2019, Jan 11, 2016 (3 updates tracked since 2016).

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

NPI1396016903
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKANDICE DOMINIQUE GRAY
Location Address1777 N BELLFLOWER BLVD STE 105Long Beach, CA 90815-4019
Mailing Address1777 N Bellflower Blvd Ste 105Long Beach, CA 90815-4019 · (323) 402-1803
Sole ProprietorNo
Enumeration DateJanuary 13, 2012
Last NPPES UpdateSeptember 1, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
NPI 1396016903 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 CA · LCSW90095
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.
1777 N BELLFLOWER BLVD STE 105, Long Beach, CA 90815

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kandice Dominique Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

Community/Behavioral Health
1777 N BELLFLOWER BLVD STE 105
LONG BEACH, CA 90815
Counselor (Mental Health)
1777 N BELLFLOWER BLVD STE 105
LONG BEACH, CA 90815
Specialist
1777 N BELLFLOWER BLVD STE 105
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.

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, Priority Health and Providence Health Plan 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 3 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.