Jessica Danielle Gray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013649 Issued in VA

Practice address

321 Poplar Dr Ste C
Petersburg, VA 23805-9391

Phone

(804) 733-5591

Fax

(804) 733-3506

NPI assigned

Jul 14, 2022

Last updated

Mar 14, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment Care Compare group NPD
• Central Virginia Health Services Inc

  dba CVHS Westmoreland

  • Federally Qualified Health Center (FQHC)
  • Montross, VA
  • NPI 1306975875
  NPD
• Central Virginia Health Services Inc

  dba CVHS Blue Devils Health Center

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Central Virginia Health Services Inc

  dba CVHS Fredericksburg

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, VA
  • NPI 1730377706
  NPD (past)
• Central Virginia Health Services, Inc.

  dba CVHS - Petersburg Recovery Center

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1568106458
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1780318667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HEADWATER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153665",
            "telephone_number": "804-239-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 POPLAR DR STE C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059391",
            "telephone_number": "804-733-5591",
            "fax_number": "804-733-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25892 N James Madison Hwy",
            "address_purpose": "LOCATION",
            "city": "New Canton",
            "state": "VA",
            "postal_code": "231232234",
            "country_code": "US",
            "telephone_number": "434-581-3271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 W Broaddus Ave Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "VA",
            "postal_code": "22427",
            "country_code": "US",
            "telephone_number": "804-632-1030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238035039",
            "country_code": "US",
            "telephone_number": "804-835-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Hopewell",
            "state": "VA",
            "postal_code": "238604138",
            "country_code": "US",
            "telephone_number": "804-452-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Johnson Rd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238052338",
            "country_code": "US",
            "telephone_number": "804-972-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Preston Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229034420",
            "country_code": "US",
            "telephone_number": "434-227-5624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 E Jefferson St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229025353",
            "country_code": "US",
            "telephone_number": "434-227-5624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18849 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Montross",
            "state": "VA",
            "postal_code": "225202965",
            "country_code": "US",
            "telephone_number": "804-493-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8380 Boydton Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Alberta",
            "state": "VA",
            "postal_code": "238212851",
            "country_code": "US",
            "telephone_number": "434-949-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2256 Irish Rd",
            "address_purpose": "LOCATION",
            "city": "Esmont",
            "state": "VA",
            "postal_code": "229371945",
            "country_code": "US",
            "telephone_number": "434-286-3602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 S Union St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238034221",
            "country_code": "US",
            "telephone_number": "804-957-9601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11814 King William Rd",
            "address_purpose": "LOCATION",
            "city": "Aylett",
            "state": "VA",
            "postal_code": "230094103",
            "country_code": "US",
            "telephone_number": "804-769-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "VA",
            "postal_code": "230934187",
            "country_code": "US",
            "telephone_number": "540-967-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1965 Emancipation Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224016213",
            "country_code": "US",
            "telephone_number": "540-735-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Charles City",
            "state": "VA",
            "postal_code": "230303434",
            "country_code": "US",
            "telephone_number": "804-829-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011111",
            "country_code": "US",
            "telephone_number": "434-392-8177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 LeGrande Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte Court House",
            "state": "VA",
            "postal_code": "239233747",
            "country_code": "US",
            "telephone_number": "434-542-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4260 Crossings Blvd",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751400",
            "country_code": "US",
            "telephone_number": "804-452-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Goolsby, DPT
• Tandrea Graham, MSW
• Tina Stoll Graham, RPH
• Rolette Michelle Grandison
• Kenneth Alonzo Graves, CSAC
• Gloria Bruce Green, PHARMD
• Roy Donzell Green, LPC
• Tamika Green, LPN
• Sarah Chambliss Greenerl, RN
• Charles Francis Griffin, DDS

• Clinical Social Worker in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.