Individual provider Active NPI

Carol A Graybeal, LCSW

  • Clinical Social Worker
  • Lewisburg, PA
National Provider Identifier
1265506554
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CWO13239 Issued in PA
Practice address
115 Farley Cir
Suite 202
Lewisburg, PA 17837-9252
Phone
(570) 523-7509
Fax
(570) 523-7599
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CWO13239 PA Primary

Addresses

Primary practice location

115 Farley Cir
Suite 202
Lewisburg, PA 17837-9252

Mailing address

115 Farley Cir
Suite 202
Lewisburg, PA 17837-9252
Phone (570) 523-7509

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CWO13239PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Janelle a. Lafore, LCSW, LLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1265506554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FARLEY CIR",
            "address_2": "SUITE 202",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379252",
            "telephone_number": "570-523-7509",
            "fax_number": "570-523-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FARLEY CIR",
            "address_2": "SUITE 202",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379252",
            "telephone_number": "570-523-7509",
            "fax_number": "570-523-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBEAL",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO13239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.