Active NPI
Maiya Gralia, LCSW
- Clinical Social Worker
- Nevada City, CA
National Provider Identifier
1306974886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS4444
- Practice address
- 12290 Palmer Rd
Nevada City, CA 95959-9240 - Phone
- (530) 265-6607
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS4444 | CA | Primary |
Addresses
Primary practice location
12290 Palmer Rd
Nevada City, CA 95959-9240
Mailing address
PO Box 1010
Nevada City, CA 95959-1010
Phone (530) 265-6607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW044440 | Medicaid | CA |
Other names 1
- Mary Gralia
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS4444 | CA | MD | Clinical Social Worker |
| 4444 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306974886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1010",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959591010",
"telephone_number": "530-265-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12290 PALMER RD",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599240",
"telephone_number": "530-265-6607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRALIA",
"first_name": "MAIYA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS4444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CSW044440",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "GRALIA",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.