Anycia M. R. Grady, MSSA, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700114-SUPV Issued in OH

Practice address

6303 Ridgewood Ave
Parma, OH 44129-2325

Phone

(216) 832-2366

NPI assigned

Aug 9, 2011

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Soma Lotus Executive Coaching Counseling and Consulting

  dba Anycia Grady

  • Clinical Social Worker
  • Rocky River, OH
  • NPI 1346869682
  NPD Authorized official

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1194004168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 RIDGEWOOD AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292325",
            "telephone_number": "216-832-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 RIDGEWOOD AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292325",
            "telephone_number": "216-832-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "ANYCIA",
        "middle_name": "M. R.",
        "credential": "MSSA, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700114-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Goomber, M.D.
• Eric Lawrence Gordon, DDS
• Latasha Monique Gordon, LICDC, LPC
• Ruth Gordon, MOT, OTR/L
• Supriya Goyal, M.D.
• Kirstin Grady, MPAS, PA-C
• Heather Renee Graham, NP
• Marian V. Graham, M.A., CCC-SLP
• Romie Graham
• Camille Grant, LPN

• Clinical Social Worker in Parma, OH
• Providers in Parma, 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 Jul 11, 2024; 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.