Shaunie Elizabeth Grams, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9617 Issued in WI

Practice address

15 Pier CT
Fond Du Lac, WI 54935-5827

Phone

(224) 632-0117

NPI assigned

Apr 19, 2017

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shaunie Elizabeth Weiner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cullain LLC

  • Psychiatry Physician
  • Madison, WI
  • NPI 1538446828
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1073047619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PIER CT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355827",
            "telephone_number": "224-632-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PIER CT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355827",
            "telephone_number": "224-632-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMS",
        "first_name": "SHAUNIE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "9617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNIE",
            "last_name": "WEINER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Golden High LLC
• Nancy L Goranson, PHD
• Timothy Gorges, PT
• Elizabeth A Gorman, MS CCC-A
• Michael J Grahl, M.D.
• Grancare Inc (Grancare Nursing and Rehabilitation Center)
• Eleanor R Grant
• Brenda J Grass, MD
• Robert J Grass, MD
• Mary Gravelle

• Social Worker in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.