Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kandice Dominique Gray

Individual provider Clinical Social Worker · NPI 1396016903

Kandice Dominique Gray is a Clinical Social Worker in Long Beach, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

1777 N Bellflower Blvd Ste 105
Long Beach, CA 90815-4019
Phone: (323) 402-1803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW90095 (CA)

Record details

NPI number1396016903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2012
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

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