Melissa Gray Kennedy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009482 Issued in NC

Practice address

2515 E NC Highway 54
Buliding 2200
Durham, NC 27713-5263

Phone

(919) 493-0959

Fax

(919) 493-0970

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melissa Anne Gray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melissa Gray Kennedy, LCSW, PLLC

  • Clinical Social Worker
  • Chapel Hill, NC
  • NPI 1538988043
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1477800514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROVIDENCE RD STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142208",
            "telephone_number": "919-914-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E NC HIGHWAY 54",
            "address_2": "BULIDING 2200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135263",
            "telephone_number": "919-493-0959",
            "fax_number": "919-493-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MELISSA",
        "middle_name": "GRAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009482",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GRAY",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Kennedy, PT, DPT
• Jared Kennedy, ATC
• Katelyn Hope Kennedy, PHARMD
• Kendrick Kennedy, MD
• Laura Good Kennedy, PT, DPT, NCS
• Randol Jamel Rohan Kennedy, MD
• Richard Kennedy, M.D.
• Wilhemina Amelia Kennedy, MD
• Setericka Kennon
• Richard Gene Kenny, RN

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.