Look up the most recent NPI and PECOS records

Kimberly Gray

Social Worker

Behavioral Health & Social Service Providers

6331 Germantown Ave # 2, Philadelphia, PA 19144-1907

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Gray is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972067999
Provider Type
Individual
Full Name
Gray, Kimberly
Credential
MBA, MSS, MLSP, LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/23/2019
Last Updated
9/30/2021

Contact Information

Practice Location

6331 Germantown Ave # 2, Philadelphia, PA 19144-1907

(215) 450-1869

Unlisted Fax

Mailing Location

6331 Germantown Ave # 2, Philadelphia, PA 19144-1907

(215) 450-1869

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW020332 Pennsylvania

Kimberly Gray

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Meyer, Kimberly Ann

Cupit, Tara Lynn

Branscomb, Shelli

Snyder, Andrea Langford

Gold, Eliot K

Mayson, Trapeta B

Sprinkle, Robert A

Hinds, Laura

Grossett, Kareemah

Charmoy, Dana Lynn