Kellisha Gray, MSW, LCSW
NPI 1992173355 · Clinical Social Worker · Dunn, NC
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellisha Gray, MSW, LCSW is a Clinical Social Worker provider in Dunn, NC (NPI 1992173355).
Provider details
- NPI number
- 1992173355
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C011140 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 125 Bella Howington DrLillington, NC 27546-5666Phone: (910) 814-4015Fax: (910) 814-4015
Registry dates
- Enumerated
- 2015-09-02
- Last updated
- 2018-03-17
Frequently asked questions
- What is Kellisha Gray's NPI number?
- Kellisha Gray's National Provider Identifier (NPI) is 1992173355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellisha Gray's specialty?
- Kellisha Gray is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kellisha Gray located?
- Kellisha Gray's practice location on file with NPPES is 731 Tilghman Dr, Dunn, NC 28334-5507.
- What is Kellisha Gray's phone number?
- The practice phone number listed in the NPPES registry for Kellisha Gray is (910) 249-4219.
- Does Kellisha Gray accept Medicare?
- Kellisha Gray is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellisha Gray's NPI active?
- Yes — Kellisha Gray's NPI (1992173355) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.