Active NPI
Lisa Katherine Degraff, LMSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1003063678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60328
- Practice address
- 4425 S Mo Pac Expy Ste 602
Austin, TX 78735-6757 - Phone
- (512) 893-7265
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7236 | KS | |
| Clinical Social Worker | 1041C0700X | 7236 | KS | |
| Clinical Social Worker | 1041C0700X | 60328 | TX | Primary |
Addresses
Primary practice location
4425 S Mo Pac Expy Ste 602
Austin, TX 78735-6757
Mailing address
4425 S Mo Pac Expy Ste 602
Austin, TX 78735-6757
Phone (512) 893-7265
Other practice location 1
1301 N 47th St
Kansas City, KS 66102-1705
Phone (913) 563-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841281805 | Medicaid | KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7236 | KS | MD | Clinical Social Worker |
| 60328 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1003063678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 S MO PAC EXPY STE 602",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787356757",
"telephone_number": "512-893-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 S MO PAC EXPY STE 602",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787356757",
"telephone_number": "512-893-7265"
}
],
"practiceLocations": [
{
"address_1": "1301 N 47th St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661021705",
"country_code": "US",
"telephone_number": "913-563-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGRAFF",
"first_name": "LISA",
"middle_name": "KATHERINE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "7236",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "7236",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "60328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841281805",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.