Active NPI
Debbie Granick LCSW RN LLC
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1265837306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2010012064
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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.