Kimberly Gray Hedge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003640 Issued in NC

Practice address

150 W Vermont Ave
Southern Pines, NC 28387-4823

Phone

(910) 818-4132

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Gray Former name

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Surya Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Pinehurst, NC
  • NPI 1235069980
  NPD Authorized official
• Paradigm Health Care Services, LLC

  • Mental Health Counselor
  • Largo, FL
  • NPI 1336190495
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1942456264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKE VIEW DRIVE EAST",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283746909",
            "telephone_number": "910-818-4132",
            "fax_number": "910-356-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W VERMONT AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874823",
            "telephone_number": "910-818-4132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Penmarc Dr",
            "address_2": "Suite 118",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276032400",
            "country_code": "US",
            "telephone_number": "800-632-6074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGE",
        "first_name": "KIMBERLY",
        "middle_name": "GRAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kaylie Alexandra Hebert, LMBT
• Chasity Hedgpeth
• Caitlyn Marie Heidinger
• Elise Henderson
• George Patrick Henderson, M.D.
• Kelsie Henry

• Clinical Social Worker in Southern Pines, NC
• Providers in Southern Pines, 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 28, 2024; 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.