Grace Ventures Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60338821 Issued in WA

Legal business name

GRACE VENTURES CORPORATION

Practice address

16701 SE McGillivray Blvd
Suite 215
Vancouver, WA 98683-3485

Phone

(360) 818-4376

Fax

(360) 326-7224

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Vanessa Renee Grace, LCSWNPI 1538393434

Title

Owner

Phone

(360) 818-4376

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Renee Grace, LICSW

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1538393434
  NPD (past) Authorized official

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1043671142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 SE MCGILLIVRAY BLVD",
            "address_2": "SUITE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833485",
            "telephone_number": "360-818-4376",
            "fax_number": "360-326-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 SE MCGILLIVRAY BLVD",
            "address_2": "SUITE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833485",
            "telephone_number": "360-818-4376",
            "fax_number": "360-326-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE VENTURES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-818-4376",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60338821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Goulding Javier
• Guillermo Gow-Lee, M.D.
• Joseph Goyzman, AUD., CCC-A
• Hannah Grabhorn
• Richard L. Grabowsky, D.D.S.
• Vanessa Renee Grace, LICSW
• Vanessa Anne Graff, LMHC
• Weston Bradley Graff, PA-C
• Grafton Chiropractic PLLC
• Tony Lee Grafton, DC

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.