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KELSEY RAE GRAVELLE SUDP LICSW
NPI 1952840944
Social Worker - Clinical in Longview, WA

Active since February 23, 2017PECOS EnrolledAccepts Medicare Assignment
900 FIR ST, LONGVIEW, WA 98632(360) 575-3316 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2025, Jul 25, 2024, Oct 13, 2023 and 2 more (5 updates tracked since 2017).

About Kelsey Rae Gravelle Sudp Licsw NPPES

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

KELSEY RAE GRAVELLE SUDP LICSW (NPI 1952840944) is an individual clinical provider in Longview, Washington, licensed in Washington (LW61677731) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952840944
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELSEY RAE GRAVELLECredential: SUDP LICSW
Location Address900 FIR STLongview, WA 98632-2544
Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 353-9422 · Fax (360) 423-7813
Phone(360) 575-3316
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 23, 2017
Last NPPES UpdateMay 8, 20255 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1952840944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61677731
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO60714593 (WA)
900 FIR ST, Longview, WA 98632
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelsey Rae Delagrange Licswa Sudp

Secondary Practice Locations 3

Location 17700 NE 26th AveVancouver, WA 98665-0672 · Phone (360) 397-8228 · Fax (360) 353-9440
Location 2PO Box 2429Longview, WA 98632-8486 · Phone (360) 353-9494 · Fax (360) 353-9440
Location 3922 Fir StLongview, WA 98632-2525 · Phone (360) 353-9442 ext. 2566 · Fax (360) 353-9440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

Kelsey Rae Gravelle Sudp Licsw 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 ID8123537123
PECOS Enrollment IDI20250602001771
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Gravelle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cowlitz Indian Tribe
0.1 mi
Clinic/Center
1044 11TH AVE
Longview, WA 98632
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
NPI 1740562909 (360) 575-8275

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 98632 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 19

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

CASSIDY ROBERTS
Peer Specialist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
HEATHER MARIE KRAFT CG 61090134
Peer Specialist
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
JESSE CHO
Nurse Practitioner (Psychiatric/Mental Health)
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (949) 878-8315
KYLEE BROOK LANCASTER SUDP-T
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
MRS. MIRANDA JAKSHA SUDP-T
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 353-9422
TYLER WILLIAM STOCKTON CDPT
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
MRS. ANGELA LYNN MITCHELL SUDP, LICSWA
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316
LAURI RAE RIGBY CP60836353
Counselor (Addiction (Substance Use Disorder))
900 FIR ST
LONGVIEW, WA 98632
Cowlitz County (360) 575-3316

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 Kelsey Gravelle's NPI number?

The NPI number for Kelsey Gravelle is 1952840944. It was assigned to this individual provider in the NPPES registry on February 23, 2017. The provider is also known as Kelsey Rae Delagrange Licswa Sudp.

Where is Kelsey Gravelle located?

Kelsey Gravelle practices at 900 Fir St, Longview, WA 98632. The listed phone number is (360) 575-3316.

What is Kelsey Gravelle's specialty?

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

Is Kelsey Gravelle enrolled in Medicare?

Yes. Kelsey Gravelle 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 Kelsey Gravelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Gravelle reassigns Medicare benefits to Cowlitz Indian Tribe (Longview, WA). 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 Kelsey Gravelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Gravelle accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Kelsey Gravelle 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 Kelsey Gravelle was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.