Maryanne Graviano, LCSW-R, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R071030-1 Issued in NY

Practice address

20 Montauk Hwy
Blue Point, NY 11715-1139

Phone

(631) 655-2766

Fax

(631) 363-0027

NPI assigned

Aug 9, 2005

Last updated

May 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1053312454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117540423",
            "telephone_number": "631-655-2766",
            "fax_number": "631-363-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MONTAUK HWY",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151139",
            "telephone_number": "631-655-2766",
            "fax_number": "631-363-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVIANO",
        "first_name": "MARYANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R071030-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Alfredo Godoy, LCSW R
• Jessica Gomez
• Nancy Gorgone, R.N.
• Alexa Nicole Graffagnino
• Laura Daniela Granizo
• Mary Greco
• Elizabeth Anne Green, RN
• Tessa Rose Grisanti
• Elis Guberski
• H.O.P.E. Therapeutics Speech Language Pathology, P.C.

• Clinical Social Worker in Blue Point, NY
• Providers in Blue Point, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.