MRS. KELLISHA GRAY MSW, LCSW
NPI 1992173355
Social Worker - Clinical in Dunn, NC

Q: What is Kellisha Gray's NPI number?

The NPI number for Kellisha Gray is 1992173355. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Q: What is Kellisha Gray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellisha Gray was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 02, 2015PECOS Enrolled

731 TILGHMAN DR, DUNN, NC 28334(910) 249-4219 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 7, 2017, Dec 14, 2015 and 1 more (4 updates tracked since 2015).

On this page

About Mrs. Kellisha Gray Msw, Lcsw NPPES

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

MRS. KELLISHA GRAY MSW, LCSW (NPI 1992173355) is an individual clinical provider in Dunn, North Carolina, licensed in North Carolina (C011140) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lillington.

NPPES Registry Identity

NPI1992173355

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KELLISHA GRAYCredential: MSW, LCSW

Location Address731 TILGHMAN DRDunn, NC 28334-5507

Mailing Address125 Bella Howington DrLillington, NC 27546-5666 · (910) 814-4015 · Fax (910) 814-4015

Phone(910) 249-4219

Sole ProprietorYes

Enumeration DateSeptember 2, 2015

Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration

✔ NPI 1992173355 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 NC · C011140

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.

731 TILGHMAN DR, Dunn, NC 28334

Open in Google Maps ↗

Secondary Practice Location 1

Location 1125 Bella Howington DrLillington, NC 27546-5666 · Phone (910) 814-4015 · Fax (910) 814-4015

Other Identifiers 1

Medicaid1992173355NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kellisha Gray Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28334 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 $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 17

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

KHALIDAH KHADIJAH HARVEY

Counselor (Professional)