Grant Kono, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19834 Issued in CA

Practice address

35249 Yucaipa Blvd Ste B
Yucaipa, CA 92399-4370

Phone

(909) 266-1050

Fax

(909) 266-1595

NPI assigned

Oct 12, 2006

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1255420378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35355 ACACIA AVE",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993909",
            "telephone_number": "909-266-1050",
            "fax_number": "909-266-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35249 YUCAIPA BLVD STE B",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994370",
            "telephone_number": "909-266-1050",
            "fax_number": "909-266-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONO",
        "first_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11331840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeein Kim
• Mi la Kim, FNP
• Cathy E King, RN, CPNP
• Sophia Marjorie Klein
• Brittney N Koller
• Kore Rehab
• Alan Kotecki, PT
• Madison N Kucherer
• Lacie A Lafferty
• Rachel Eileen Laliberte

• Clinical Social Worker in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Clinical Social Worker in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.