KIMBERLY GRAY MBA, MSS, MLSP, LCSW
NPI 1972067999
Social Worker - Clinical in Philadelphia, PA
About Kimberly Gray Mba, Mss, Mlsp, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY GRAY MBA, MSS, MLSP, LCSW (NPI 1972067999) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW020332) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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
Kimberly Gray Mba, Mss, Mlsp, 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 Reassignments
2Medicare enrollment records show Kimberly Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19139
- Reassigned Medicare billing, Pennsylvania enrollment
- 27 clinicians in this Medicare group
Monsey, NY 10952
- Reassigned Medicare billing, Pennsylvania enrollment
- 160 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kimberly Gray's NPI number?
The NPI number for Kimberly Gray is 1972067999. It was assigned to this individual provider in the NPPES registry on January 23, 2019.
Where is Kimberly Gray located?
Kimberly Gray practices at 6331 Germantown Ave # 2, Philadelphia, PA 19144. The listed phone number is (215) 450-1869.
What is Kimberly Gray's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kimberly Gray enrolled in Medicare?
Yes. Kimberly 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 organizations bill Medicare for Kimberly Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Gray reassigns Medicare benefits to 2 organizations: Sayre Health Center (Philadelphia, PA) and Supportive Care Of Pennsylvania LLC (Monsey, NY). Each 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 Kimberly 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 Kimberly Gray was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Kimberly Gray, MBA, MSS, MLSP, LCSW · NPI 1972067999
Clinical provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 23, 2019.
## Identity
- **NPI:** 1972067999 (Entity type: Individual)
- **Enumerated:** January 23, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CW020332 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6331 GERMANTOWN AVE # 2, Philadelphia, PA 19144-1907
- **Phone:** (215) 450-1869
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sayre Health Center (NPI 1831209113, Philadelphia, PA); Supportive Care Of Pennsylvania LLC (NPI 1174992275, Monsey, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972067999) · Data from the CMS NPPES public registry.