JESSICA DANIELLE GRAY LCSW
NPI 1780318667
Social Worker - Clinical in Petersburg, VA
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
Specialties & Licenses
Secondary Practice Locations 18
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Petersburg, VA 23805
- Reassigned Medicare billing, Virginia enrollment
- 129 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 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.
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.
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.
Which organization bills Medicare for Jessica Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gray reassigns Medicare benefits to Central Virginia Health Services Inc (Petersburg, 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 Jessica 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 Jessica Gray was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Jessica Danielle Gray, LCSW · NPI 1780318667
Clinical provider in Petersburg, Virginia. Individual provider, active in the CMS NPPES registry since July 14, 2022.
## Identity
- **NPI:** 1780318667 (Entity type: Individual)
- **Enumerated:** July 14, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904013649 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 321 POPLAR DR STE C, Petersburg, VA 23805-9391
- **Phone:** (804) 733-5591 · **Fax:** (804) 733-3506
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Central Virginia Health Services Inc (NPI 1588878474, Petersburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780318667) · Data from the CMS NPPES public registry.