Individual provider Active NPI

Brady Michael Degrasse, LCSW

  • Clinical Social Worker
  • Panama City Beach, FL
National Provider Identifier
1164433819
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
308 Coronado PL
Panama City Beach, FL 32413-3914
Phone
(850) 890-5352
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW10077 FL
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

308 Coronado PL
Panama City Beach, FL 32413-3914

Mailing address

308 Coronado PL
Panama City Beach, FL 32413-3914
Phone (850) 890-5352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110915000766 FL Practitioner - Clinical Social Worker 5890966253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10077FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pancare of Florida, Inc CurrentSince Dec 15, 2025 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
Compass Health, Inc Clinical Past Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients
Life Management Center of Northwest Florida Inc Past Accepting new patients

Locations

11033 NW State Road 20
Bristol, FL 32321
Phone (850) 643-1155

2235 E 15th St
Panama City, FL 32405
Phone (850) 747-5272

403 E 11th St
Panama City Beach, FL 32401
Phone (850) 747-5599

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1164433819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CORONADO PL",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324133914",
            "telephone_number": "850-890-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CORONADO PL",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324133914",
            "telephone_number": "850-890-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRASSE",
        "first_name": "BRADY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.