MRS. KELSEY ANN GRAY (LICSW) – Social Worker, NPI 1598894529

MRS. KELSEY ANN GRAY (LICSW) is a healthcare provider. based in Yarmouth port, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. The NPI Number for MRS. KELSEY ANN GRAY (LICSW) is 1598894529

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELSEY ANN GRAY (LICSW)
NPI
1598894529
Phone
(508) 280-8385
Address
411 ROUTE 6A
Enumeration Date
5 March 2007
Last Update Date
20 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
0446566269
Group Practice PAC ID
0840625885
Professional Enrollment ID
I20150825002865
Address ID
MA026322570Ce20XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MRS. KELSEY ANN GRAY (LICSW)

  • 411 ROUTE 6A

    BUILDING 5, UNIT C

    YARMOUTH PORT, MA 026751843

    Phone: (508) 280-8385

    Type: Location

  • 20 CROSBY RD

    CENTERVILLE, MA 026322570

    Phone: (508) 280-8385

    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: 2015-08-25

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
I20150825002865IClinical Social WorkerMATBD

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 02675)

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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: 0840625885View full group profile
NameSpecialtyState
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. KELSEY ANN GRAY (LICSW)'s NPI?
Yes. MRS. KELSEY ANN GRAY (LICSW) is listed with NPI 1598894529 in the public NPI dataset.
Is MRS. KELSEY ANN GRAY (LICSW) still practicing?
MRS. KELSEY ANN GRAY (LICSW) is currently listed as active in the public NPI registry.
What is MRS. KELSEY ANN GRAY (LICSW)'s specialty?
The listing groups MRS. KELSEY ANN GRAY (LICSW) with Social Worker. Clinical services aligned with this taxonomy classification.
Where is MRS. KELSEY ANN GRAY (LICSW) based?
MRS. KELSEY ANN GRAY (LICSW) is tied to Yarmouth Port, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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