STACEY GRAY LCSW-C
NPI 1659673572
Social Worker - Clinical in Lexington Park, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24504
- Reassigned Medicare billing, Maryland enrollment
- 65 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Stacey Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Gray reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Stacey Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacey Gray was last updated on September 28, 2023. 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.
# Stacey Gray, LCSW-C · NPI 1659673572
Clinical provider in Lexington Park, Maryland. Individual provider, active in the CMS NPPES registry since November 29, 2010.
## Identity
- **NPI:** 1659673572 (Entity type: Individual)
- **Enumerated:** November 29, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 15278 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 21770 FDR BLVD, Lexington Park, MD 20653-1558
- **Phone:** (301) 863-6661 · **Fax:** (301) 866-9189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1659673572) · Data from the CMS NPPES public registry.