Laurie K Grachek-White, PHD, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0002630 Issued in OH

Practice address

5735 Meeker Rd
Greenville, OH 45331-1180

Phone

(937) 548-9680

NPI assigned

Nov 21, 2006

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 identifiers 1

Other names 1

• Dr. Laurie K Grachek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1124193669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311180",
            "telephone_number": "937-548-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311180",
            "telephone_number": "937-548-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACHEK-WHITE",
        "first_name": "LAURIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0002630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED IND SOCIAL WORKE",
            "identifier": "0002630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "GRACHEK",
            "middle_name": "K",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Goewert
• Douglass K Gordon, D.M.D.
• Lawrence A Gould, M.D.
• Brooke Nicole Gower, PHARMD
• Julia Gower, LPC
• Greenville Al, LLC
• Greenville Board of Education
• Greenville Emergency Physicians, Inc.
• Greenville Healthcare LLC
• Greenville Pharmacy Inc.

• Clinical Social Worker in Greenville, OH
• Providers in Greenville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.