JESSICA DANIELLE GRAY LCSW
NPI 1780318667
Social Worker - Clinical in Petersburg, VA

Active since July 14, 2022PECOS EnrolledAccepts Medicare Assignment
321 POPLAR DR STE C, PETERSBURG, VA 23805(804) 733-5591(804) 733-3506 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2025, Jul 14, 2022 (2 updates tracked since 2022).

About Jessica Danielle Gray Lcsw NPPES

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

JESSICA DANIELLE GRAY LCSW (NPI 1780318667) is an individual clinical provider in Petersburg, Virginia, licensed in Virginia (0904013649) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains 18 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780318667
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA DANIELLE GRAYCredential: LCSW
Location Address321 POPLAR DR STE CPetersburg, VA 23805-9391
Mailing Address800 Headwater DrArlington, TX 76015-3665 · (804) 239-0836
Fax(804) 733-3506
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 14, 2022
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1780318667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in VA · 0904013649 Licensed in TX · 67327
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.

321 POPLAR DR STE C, Petersburg, VA 23805

Secondary Practice Locations 18

Location 19950 Courthouse RdCharles City, VA 23030-3434 · Phone (804) 829-6600
Location 2541 S Sycamore StPetersburg, VA 23803-5039 · Phone (804) 835-6100
Location 3400 S Mesa DrHopewell, VA 23860-4138 · Phone (804) 452-5800
Location 43101 Johnson RdPetersburg, VA 23805-2338 · Phone (804) 972-0068
Location 525892 N James Madison HwyNew Canton, VA 23123-2234 · Phone (434) 581-3271
Location 6833 Buffalo StFarmville, VA 23901-1111 · Phone (434) 392-8177
Location 7165 LeGrande AveCharlotte Court House, VA 23923-3747 · Phone (434) 542-5560
Location 84260 Crossings BlvdPrince George, VA 23875-1400 · Phone (804) 452-5800
Location 9102 W Broaddus Ave Suite 200Bowling Green, VA 22427 · Phone (804) 632-1030
Location 101965 Emancipation Hwy Ste 100Fredericksburg, VA 22401-6213 · Phone (540) 735-0560
Location 11410 Industrial DrLouisa, VA 23093-4187 · Phone (540) 967-9401
Location 1211814 King William RdAylett, VA 23009-4103 · Phone (804) 769-3022
Location 1325 S Union StPetersburg, VA 23803-4221 · Phone (804) 957-9601
Location 142256 Irish RdEsmont, VA 22937-1945 · Phone (434) 286-3602
Location 158380 Boydton Plank RdAlberta, VA 23821-2851 · Phone (434) 949-7211
Location 1618849 Kings HwyMontross, VA 22520-2965 · Phone (804) 493-9999
Location 171101 E Jefferson St Ste 1Charlottesville, VA 22902-5353 · Phone (434) 227-5624
Location 18800 Preston AveCharlottesville, VA 22903-4420 · Phone (434) 227-5624

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

Jessica Danielle Gray Lcsw 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 ID9032595483
PECOS Enrollment IDI20221007002365
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 23805 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 5

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

Pharmacist
321 POPLAR DR STE C
PETERSBURG, VA 23805
Nurse Practitioner (Primary Care)
321 POPLAR DR STE C
PETERSBURG, VA 23805
Nurse Practitioner (Family)
321 POPLAR DR STE C
PETERSBURG, VA 23805
Nurse Practitioner (Family)
321 POPLAR DR STE C
PETERSBURG, VA 23805
Nurse Practitioner (Family)
321 POPLAR DR STE C
PETERSBURG, VA 23805

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 Jessica Gray's NPI number?

The NPI number for Jessica Gray is 1780318667. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Jessica Gray located?

Jessica Gray practices at 321 Poplar Dr Ste C, Petersburg, VA 23805. The listed phone number is (804) 733-5591.

What is Jessica Gray's specialty?

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

Is Jessica Gray enrolled in Medicare?

Yes. Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica Gray was last updated on March 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.