Kelsey Rae Gravelle, SUDP LICSW is a
Social Worker - Clinical based in Longview, Washington. Kelsey Rae Gravelle is licensed to practice in Washington (license number LW61677731) and her current practice location is
900 Fir St, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 575-3316.
NPI number for Kelsey Rae Gravelle is 1952840944 and her current mailing address is Po Box 2429, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952840944.
Healthcare Provider's Profile
| Full Name | Kelsey Rae Gravelle |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 900 Fir St, Longview, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952840944
- Provider Enumeration Date: 02/23/2017
- Last Update Date: 05/08/2025
Medical Identifiers
Medical identifiers for Kelsey Rae Gravelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952840944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60714593 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61677731 (Washington) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Rae Gravelle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelsey Rae Gravelle, SUDP LICSW
Po Box 2429,
Longview, WA 98632-8486
Ph: (360) 353-9422 | Kelsey Rae Gravelle, SUDP LICSW
900 Fir St,
Longview, WA 98632-2544
Ph: (360) 575-3316 |
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