Active NPI
Harriet Mari Grande
- Clinical Social Worker
- New York, NY
National Provider Identifier
1043792526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R73076740
- Legal business name
- HARRIET MARI GRANDE
- Doing business as
- Mari Grande, LCSW
- Practice address
- 295 Madison Ave FL 12
New York, NY 10017-6379 - Phone
- (212) 871-6856
- Fax
- (615) 858-7576
- NPI assigned
- Aug 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harriet Mari Grande, LCSW, LCAT
- Title
- Psychotherapist
- Phone
- (212) 871-6856
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R73076740 | NY | Primary |
| Art Therapist | 221700000X | 05000197 | NY |
Addresses
Primary practice location
295 Madison Ave FL 12
New York, NY 10017-6379
Mailing address
555 Kappock St Apt 26a
Bronx, NY 10463-6434
Phone (917) 535-7576
Other names 1
- Mari Grande, LCSW
National Provider Directory
National Provider DirectoryLocations
122 E 42nd St
#1724
New York, NY 10168
Phone (212) 871-6856
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New York, NY
- NPI 1548345333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599004800000",
"number": "1043792526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 KAPPOCK ST APT 26A",
"city": "BRONX",
"state": "NY",
"postal_code": "104636434",
"telephone_number": "917-535-7576",
"fax_number": "615-858-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MADISON AVE FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176379",
"telephone_number": "212-871-6856",
"fax_number": "615-858-7576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRIET MARI GRANDE",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-31",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A",
"authorized_official_last_name": "GRANDE",
"authorized_official_first_name": "HARRIET",
"authorized_official_middle_name": "MARI",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "212-871-6856",
"authorized_official_credential": "LCSW, LCAT"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R73076740",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Art Therapist",
"state": "NY",
"license": "05000197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mari Grande, LCSW",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mari Grande, LCSW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.