Vanessa Graves, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0996C Issued in AL

Practice address

521 Energy Center Blvd Ste 1506
Northport, AL 35473

Phone

(205) 737-7678

Fax

(205) 737-7681

NPI assigned

May 16, 2018

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

Other names 1

• Mrs. Vanessa German Graves Former name

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Vanessa German Graves Counseling & Consultation Services, LLC

  • Clinical Social Worker
  • Northport, AL
  • NPI 1396221503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1134619059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ENERGY CENTER BLVD STE 1506",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735833",
            "telephone_number": "205-737-7678",
            "fax_number": "205-737-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ENERGY CENTER BLVD STE 1506",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35473",
            "telephone_number": "205-737-7678",
            "fax_number": "205-737-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "VANESSA",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0996C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GRAVES",
            "middle_name": "GERMAN",
            "prefix": "MRS.",
            "credential": "BCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• GJ&B Services Inc
• Glen Haven Health and Rehabilitation, LLC
• Kaci Lauren Godwin
• Krista Michelle Goss, OTR
• Frederick S Graham, MD
• Amanda Brooke Gray, PT, DPT, ATC
• Sha-Rhonda M. Green, PHD, LCSW
• Robert D Griffith, MD
• Beverly Jalon Guenther, LPC
• Erin Guffey, LPC

• Clinical Social Worker in Northport, AL
• Providers in Northport, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.