Organization Active NPI

Debbie Granick LCSW RN LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1265837306
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010012064 Issued in MO
Legal business name
DEBBIE GRANICK LCSW RN LLC
Practice address
8301 Maryland Ave Ste 330
Saint Louis, MO 63105-3660
Phone
(314) 413-1391
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Debbie Granick, LCSW
Title
Owner
Phone
(314) 413-1391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2010012064 MO Primary

Addresses

Primary practice location

8301 Maryland Ave Ste 330
Saint Louis, MO 63105-3660

Mailing address

8301 Maryland Ave Ste 330
Saint Louis, MO 63105-3660
Phone (314) 413-1391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1265837306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 MARYLAND AVE STE 330",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053660",
            "telephone_number": "314-413-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 MARYLAND AVE STE 330",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053660",
            "telephone_number": "314-413-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE GRANICK LCSW RN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "GRANICK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-413-1391",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010012064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.