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

Kelsey Rae Gravelle, SUDPLICSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1952840944

Kelsey Rae Gravelle, SUDPLICSW is a Clinical Social Worker in Longview, Washington. Qualified in 2021, 5 years ago. Practices with Cowlitz Indian Tribe, a 25-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

900 Fir St
Longview, WA 98632-2544
Phone: (360) 575-3316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • Po Box 2429, Longview, WA 98632-8486 — (360) 353-9494
  • 922 Fir St, Longview, WA 98632-2525 — (360) 353-9442
  • 7700 Ne 26th Ave, Vancouver, WA 98665-0672 — (360) 397-8228

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61677731 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO60714593 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1952840944
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDPLICSW
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cowlitz Indian Tribe — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longview