NPIMap

Organization Active NPI

Carl Wayne Grody

  • Social Worker
  • Dublin, OH
National Provider Identifier
1245540087
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I 0900134 Issued in OH
Legal business name
CARL WAYNE GRODY
Practice address
5060 Bradenton Ave
Suite B
Dublin, OH 43017-3511
Phone
(614) 889-6422
Fax
(614) 453-8863
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Carl Wayne Grody, LISWNPI 1477753374
Title
Owner
Phone
(614) 889-6422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X I 0900134 OH Primary

Addresses

Primary practice location

5060 Bradenton Ave
Suite B
Dublin, OH 43017-3511

Mailing address

3982 Powell Rd
Suite 271
Powell, OH 43065-7662
Phone (614) 889-6422

National Provider Directory

National Provider Directory

Locations

3982 Powell Rd
Powell, OH 43065
Phone (440) 250-7345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1245540087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 POWELL RD",
            "address_2": "SUITE 271",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657662",
            "telephone_number": "614-889-6422",
            "fax_number": "614-453-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 BRADENTON AVE",
            "address_2": "SUITE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173511",
            "telephone_number": "614-889-6422",
            "fax_number": "614-453-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL WAYNE GRODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "GRODY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-889-6422",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I 0900134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.