Active NPI
Nancy G. Grabow, LCSW-R
- Clinical Social Worker
- Sherrill, NY
National Provider Identifier
1215069810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R046143-1
- Practice address
- 168 Kinsley St
Sherrill, NY 13461-1102 - Phone
- (315) 363-7005
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R046143-1 | NY | Primary |
Addresses
Primary practice location
168 Kinsley St
Sherrill, NY 13461-1102
Mailing address
168 Kinsley St
Sherrill, NY 13461-1102
Phone (315) 363-7005
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151921 | Other | NY | VALUE OPTIONS |
| O1917748 | Medicaid | NY | |
| 7484006 | Other | NY | GHI |
| 6258154 | Other | NY | UBH,UNITED HEALTHCARE |
| 318830 | Other | NY | MVP HEALTH PLAN |
Other names 1
- Nancy Grady Grabow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R046143-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215069810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 KINSLEY ST",
"city": "SHERRILL",
"state": "NY",
"postal_code": "134611102",
"telephone_number": "315-363-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 KINSLEY ST",
"city": "SHERRILL",
"state": "NY",
"postal_code": "134611102",
"telephone_number": "315-363-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABOW",
"first_name": "NANCY",
"middle_name": "G.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R046143-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "151921",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O1917748",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7484006",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH,UNITED HEALTHCARE",
"identifier": "6258154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH PLAN",
"identifier": "318830",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "GRABOW",
"middle_name": "GRADY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sherrill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.