Individual provider Active NPI

Mary S Grasmick, LCSW

  • Clinical Social Worker
  • Wasilla, AK
National Provider Identifier
1093386559
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10467 Issued in OR
Practice address
1981 E Palmer Wasilla Hwy Ste 200
Wasilla, AK 99654-7287
Phone
(907) 802-2493
NPI assigned
Jul 6, 2021
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L10467 OR Primary

Addresses

Primary practice location

1981 E Palmer Wasilla Hwy Ste 200
Wasilla, AK 99654-7287

Mailing address

1981 E Palmer Wasilla Hwy Ste 200
Wasilla, AK 99654-7287
Phone (907) 802-2493

Other identifiers 1

IdentifierTypeStateIssuer
L10467OtherORLCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221108001785 OR Practitioner - Clinical Social Worker 9931576725 Reassigns benefits to 1 organization
I20221114002062 AK Practitioner - Clinical Social Worker 9931576725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Dalhousie University Faculty of Dentistry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Achieve Medical Alaska LLCGroup PAC ID 1951730183, 13 clinicians
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

2741 Debarr Rd
Suite 411
Anchorage, AK 99508-2961
Phone (907) 802-2493

4800 S Macadam Ave
Suite 230
Portland, OR 97239-3927
Phone (877) 840-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L10467ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Clinical CurrentSince Nov 8, 2022 Accepting new patients
Headlight Health Medical Group PLLC CurrentSince Feb 25, 2026 Accepting new patients
Achieve Medical Alaska LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

2741 Debarr Rd
Ste 411
Anchorage, AK 99508
Phone (907) 331-0140

1981 E Palmer Wasilla Hwy
Ste 200
Wasilla, AK 99654
Phone (855) 205-5809

4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592

700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559

Interoperability endpoints

  • Direct secure messaging: mary.grasmick.p1@direct.sokya.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1093386559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 E PALMER WASILLA HWY STE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547287",
            "telephone_number": "907-802-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 E PALMER WASILLA HWY STE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547287",
            "telephone_number": "907-802-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASMICK",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "L10467",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.