Organization Active NPI

Harriet Mari Grande

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1043792526
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R73076740 Issued in NY
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

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Harriet Mari Grande, LCSW, LCATNPI 1548345333
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X R73076740 NY Primary
Art TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.