SHARISSA L GREY (LCSW) – Clinical Social Worker, NPI 1053891978

SHARISSA L GREY (LCSW) is a healthcare provider. based in Colusa, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 121708 (CA). The NPI Number for SHARISSA L GREY (LCSW) is 1053891978

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SHARISSA L GREY (LCSW)
NPI
1053891978
Phone
(530) 458-0520
Address
162 E Carson St
Enumeration Date
20 August 2018
Last Update Date
17 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5596230900
Graduation Year
2019 (7 years ago)
PAC ID
2769915388
Group Practice PAC ID
1456264555
Professional Enrollment ID
I20241104001994
Address ID
CA932923629VI520XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,987 CLINICAL SOCIAL WORKER in CA

Provider Addresses for SHARISSA L GREY (LCSW)

  • 162 E Carson St

    Colusa, CA 959322880

    Phone: (530) 458-0520

    Type: Location

  • 520, East Tulare Avenue, Visalia, Tulare County, California, 93292, United States

    VISALIA, CA 932923629

    Phone: (559) 623-0900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241104001994IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95932)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456264555View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
P S Y C H I A T R YCA
P S Y C H I A T R YCA
P S Y C H I A T R YHI
O B S T E T R I C S/ G Y N E C O L O G YCA
Internal MedicineCA
Internal Medicine, Hospitalist, Pediatric MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
P S Y C H I A T R YCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

How do payers reference SHARISSA L GREY (LCSW)?
For SHARISSA L GREY (LCSW), use NPI 1053891978 as the unique 10-digit identifier.
Is SHARISSA L GREY (LCSW) still an active registrant?
SHARISSA L GREY (LCSW) carries an active NPI according to the public dataset.
What expertise is attributed to SHARISSA L GREY (LCSW)?
SHARISSA L GREY (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in California is SHARISSA L GREY (LCSW) registered?
Use Colusa, California as the headline location for SHARISSA L GREY (LCSW) here.
Does SHARISSA L GREY (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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