Individual provider Active NPI

Kaitlin E Gray, MSW, LCSW-A, LCAS-A

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1801771589
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
880 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2600
Phone
(919) 893-4465
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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 Primary

Addresses

Primary practice location

880 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2600

Mailing address

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone (919) 893-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advaita Integrated Medicine PLLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

880 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 818-6622

6112 Saint Giles St
Raleigh, NC 27612
Phone (919) 782-3870

Organizations & group practices 1

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1801771589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 SAINT GILES ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127043",
            "telephone_number": "919-893-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MARTIN LUTHER KING JR BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142600",
            "telephone_number": "919-893-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KAITLIN",
        "middle_name": "E",
        "credential": "MSW, LCSW-A, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.