Individual provider Active NPI

Adam Lee Gray-Heim, MSW, LCSW

  • Clinical Social Worker
  • Raeford, NC
National Provider Identifier
1790456408
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017335 Issued in NC
Practice address
169 Bridle Dr
Raeford, NC 28376-7177
Phone
(162) 047-4035
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C017335 NC Primary

Addresses

Primary practice location

169 Bridle Dr
Raeford, NC 28376-7177

Mailing address

169 Bridle Dr
Raeford, NC 28376-7177
Phone (162) 047-4035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240908000016 NC Practitioner - Clinical Social Worker 4688114408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC CurrentSince Jul 30, 2024 Accepting new patients
Best Day Psychiatry and Counseling, PC Clinical CurrentSince Jul 30, 2024 Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1790456408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BRIDLE DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767177",
            "telephone_number": "162-047-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 BRIDLE DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767177",
            "telephone_number": "162-047-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-HEIM",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.