LETTIE DENISE GRAY MSW,LCSW,LCAC,MAC
NPI 1821665514
Social Worker - Clinical in Fort Wayne, IN
About Lettie Denise Gray Msw,lcsw,lcac,mac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LETTIE DENISE GRAY MSW,LCSW,LCAC,MAC (NPI 1821665514) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (3406620A) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lettie Denise Gray Msw,lcsw,lcac,mac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lettie Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana enrollment
- 322 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 46805 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
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 Lettie Gray's NPI number?
The NPI number for Lettie Gray is 1821665514. It was assigned to this individual provider in the NPPES registry on June 10, 2021.
Where is Lettie Gray located?
Lettie Gray practices at 2622 Lake Ave Ste 1, Fort Wayne, IN 46805. The listed phone number is (260) 299-3160.
What is Lettie Gray's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Lettie Gray enrolled in Medicare?
Yes. Lettie Gray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lettie Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lettie Gray reassigns Medicare benefits to Meridian Health Services Corp. (Fort Wayne, IN). 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 Lettie Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lettie Gray accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lettie 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 Lettie Gray was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lettie Denise Gray, MSW,LCSW,LCAC,MAC · NPI 1821665514
Clinical provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since June 10, 2021.
## Identity
- **NPI:** 1821665514 (Entity type: Individual)
- **Enumerated:** June 10, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 3406620A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2622 LAKE AVE STE 1, Fort Wayne, IN 46805-5410
- **Phone:** (260) 299-3160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Meridian Health Services Corp. (NPI 1568192458, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821665514) · Data from the CMS NPPES public registry.