STACEY GRAY LCSW-C
NPI 1659673572
Social Worker - Clinical in Lexington Park, MD

Active since November 29, 2010PECOS EnrolledAccepts Medicare Assignment
21770 FDR BLVD, LEXINGTON PARK, MD 20653(301) 863-6661(301) 866-9189 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Gray Lcsw-c NPPES

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

STACEY GRAY LCSW-C (NPI 1659673572) is an individual clinical provider in Lexington Park, Maryland, licensed in Maryland (15278) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1659673572
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACEY GRAYCredential: LCSW-C
Location Address21770 FDR BLVDLexington Park, MD 20653-1558
Mailing Address30007 Business Center DrCharlotte Hall, MD 20622-3101 · (301) 997-1300 · Fax (301) 866-9189
Fax(301) 866-9189
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 29, 2010
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
NPI 1659673572 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 MD · 15278
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.
21770 FDR BLVD, Lexington Park, MD 20653

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 and accepts Medicare assignment

Stacey Gray Lcsw-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587815436
PECOS Enrollment IDI20121127000296
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 20653 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
21770 FDR BLVD
LEXINGTON PARK, MD 20653
Social Worker
21770 FDR BLVD
LEXINGTON PARK, MD 20653
Community/Behavioral Health
21770 FDR BLVD
LEXINGTON PARK, MD 20653
Social Worker (Clinical)
21770 FDR BLVD
LEXINGTON PARK, MD 20653
Community/Behavioral Health
21770 FDR BLVD
LEXINGTON PARK, MD 20653
Counselor
21770 FDR BLVD
LEXINGTON PARK, MD 20653
Counselor (Addiction (Substance Use Disorder))
21770 FDR BLVD
LEXINGTON PARK, MD 20653
Social Worker (Clinical)
21770 FDR BLVD
LEXINGTON PARK, MD 20653

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 Stacey Gray's NPI number?

The NPI number for Stacey Gray is 1659673572. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Stacey Gray located?

Stacey Gray practices at 21770 Fdr Blvd, Lexington Park, MD 20653. The listed phone number is (301) 863-6661.

What is Stacey Gray's specialty?

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

Is Stacey Gray enrolled in Medicare?

Yes. Stacey Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Gray accept?

Health plans from Providence Health Plan list Stacey 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 Stacey Gray was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.