Stephanie Graves

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106711 Issued in MI

Practice address

4777 E Outer Dr
Detroit, MI 48234-3241

Phone

(313) 717-4898

NPI assigned

Jun 8, 2017

Last updated

Mar 31, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Baby's Life, LLC

  • Case Management Agency
  • Detroit, MI
  • NPI 1962018457
  NPD Authorized official
• Healing House, LLC

  • Social Worker
  • Detroit, MI
  • NPI 1154933265
  Authorized official Same address or phone
• Maverick's Transportation Service, LLC

  dba Maverick's Transportation Service

  • Non-emergency Medical Transport (VAN)
  • Roseville, MI
  • NPI 1285273029
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1154850543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RAVINE TERRACE CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072720",
            "telephone_number": "313-717-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343241",
            "telephone_number": "313-717-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ivy Grattan, LLPC
• Jordan Grauer, MD
• Tamara Kay Gravelle, P.A.
• Melissa Graves-Clapp, LLMSW
• Petiste Graves
• Sylvia Christine Graves, LLBSW
• Tonnieo Graves
• Natori Gravitt
• Sabrina Kai Gray-Sanders, LMSW
• Alaina Kaleen Gray, BCBA

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.