Active NPI
Grace Chenal, LMSW
- Clinical Social Worker
- Flagstaff, AZ
National Provider Identifier
1306567235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-18470
- Practice address
- 2410 E Route 66
Flagstaff, AZ 86004-5007 - Phone
- (480) 323-0933
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-18470 | AZ | Primary |
Addresses
Primary practice location
2410 E Route 66
Flagstaff, AZ 86004-5007
Mailing address
2101 E 6TH Ave
Flagstaff, AZ 86004-4203
Phone (480) 323-0933
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | grace.c@wganow.com | Direct | Winslow Guidance Associates, Inc. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-18470 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Guidance Associates, Inc. | 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.
-
- Community/Behavioral Health Agency
- Winslow, AZ
- NPI 1114171436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1306567235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E 6TH AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860044203",
"telephone_number": "480-323-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 E ROUTE 66",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860045007",
"telephone_number": "480-323-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENAL",
"first_name": "GRACE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW-18470",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "grace.c@wganow.com",
"affiliation": "Y",
"endpointDescription": "Buisness email",
"affiliationName": "Winslow Guidance Associates, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "607 W. Desmond Street",
"city": "Winslow",
"state": "AZ",
"country_code": "US",
"postal_code": "860473005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.