Organization Active NPI

Ryan Grady, Licensed Clinical Social Worker Inc.

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1265272405
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Authorized official

Name
Ryan Daniel Grady, LCSWNPI 1376825869
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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": []
}

Other providers in Los Angeles, CA

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.

Verify at the official NPI Registry.