Active NPI
Mary S Grasmick, LCSW
- Clinical Social Worker
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L10467
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L10467 | Other | OR | LCSW LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| L10467 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Clinical | Current | Accepting new patients |
| Headlight Health Medical Group PLLC | Current | Accepting new patients | |
| Achieve Medical Alaska LLC | Current | 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
- 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.
-
- Medical Specialty Clinic/Center
- Wasilla, AK
- NPI 1922648690
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- San Diego, CA
- NPI 1649064486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.