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JACLYN GRAY
NPI 1952858144
Social Worker - Clinical in Bristol, RI

Active since September 06, 2016PECOS Enrolled

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jaclyn Gray NPPES

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

JACLYN GRAY (NPI 1952858144) is an individual clinical provider in Bristol, Rhode Island, licensed in Rhode Island (ISW04804) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952858144
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACLYN GRAY
Location Address9 COURT STBristol, RI 02809-2207
Mailing Address9 Court StBristol, RI 02809-2207 · (401) 864-1948
Phone(401) 842-0009
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 6, 2016
Last NPPES UpdateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1952858144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW04804
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.
9 COURT ST, Bristol, RI 02809
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981169406
PECOS Enrollment IDI20260724001145
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 Jaclyn Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Karen Gieseke, Phd & Associates Inc.
0.1 mi
Psychologist
9 COURT STREET
Bristol, RI 02809
  • Reassigned Medicare billing, Rhode Island enrollment
  • 7 clinicians in this Medicare group
NPI 1134203573 (401) 842-0009

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 02809 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 $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 2

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

DR. KAREN JOHNSTON GIESEKE PH.D.
Psychologist
9 COURT ST
BRISTOL, RI 02809
Bristol County (401) 842-0009
KATHRYN G LOW PH.D.
Psychologist
9 COURT ST
BRISTOL, RI 02809
Bristol County (401) 842-0009

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 Jaclyn Gray's NPI number?

The NPI number for Jaclyn Gray is 1952858144. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Jaclyn Gray located?

Jaclyn Gray practices at 9 Court St, Bristol, RI 02809. The listed phone number is (401) 842-0009.

What is Jaclyn Gray's specialty?

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

Is Jaclyn Gray enrolled in Medicare?

Yes. Jaclyn Gray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Gray reassigns Medicare benefits to Karen Gieseke, Phd & Associates Inc. (Bristol, RI). 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 Jaclyn 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 Jaclyn Gray was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.