Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Gray, MBA, MSS, MLSP, LCSW

Individual provider Clinical Social Worker · NPI 1972067999

Kimberly Gray, MBA, MSS, MLSP, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Qualified in 2006, 20 years ago. Practices with Supportive Care of Pennsylvania LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
20
Licensed in
PA
In the registry since
2019
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6331 Germantown Ave # 2
Philadelphia, PA 19144-1907
Phone: (215) 450-1869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW020332 (PA)

Record details

NPI number1972067999
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , MSS , MLSP , LCSW
Sole proprietorYes
NPI enumeratedJanuary 23, 2019
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Supportive Care Of Pennsylvania Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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