Active NPI
Ryan Grady, Licensed Clinical Social Worker Inc.
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1265272405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RYAN GRADY, LICENSED CLINICAL SOCIAL WORKER INC.
- Practice address
- 3217 Ettrick St
Los Angeles, CA 90027-2503 - Phone
- (213) 927-5451
- NPI assigned
- May 27, 2024
- Last updated
- May 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Daniel Grady, LCSW
- Title
- President/Ceo
- Phone
- (213) 927-5451
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
3217 Ettrick St
Los Angeles, CA 90027-2503
Mailing address
3217 Ettrick St
Los Angeles, CA 90027-2503
Phone (213) 927-5451
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Los Angeles, CA
- NPI 1376825869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716768000000",
"number": "1265272405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 ETTRICK ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272503",
"telephone_number": "213-927-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 ETTRICK ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900272503",
"telephone_number": "213-927-5451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYAN GRADY, LICENSED CLINICAL SOCIAL WORKER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A",
"authorized_official_last_name": "GRADY",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "213-927-5451",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.