Courtney Graby, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05333 Issued in KS

Practice address

200 Southwind PL Ste 201
Manhattan, KS 66503-3186

Phone

(785) 323-8632

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Courtney Stevens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Endeavor Therapeutics, Inc

  • Clinical Social Worker
  • Manhattan, KS
  • NPI 1538887120
  NPD Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1336604339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTHWIND PL STE 201",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033186",
            "telephone_number": "785-323-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTHWIND PL STE 201",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033186",
            "telephone_number": "785-323-8632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Houston St",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665026136",
            "country_code": "US",
            "telephone_number": "785-320-4625 x4",
            "fax_number": "785-320-5094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABY",
        "first_name": "COURTNEY",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0009922095",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201230590A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "STEVENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Desia Marie Gordils, LMSW
• Sara E Gotchey, RN
• Earlene Faith Gould, CRNA
• Kristine Goza, LCPC
• Cayley Grable
• Dean R. Graby, LSCSW
• Hannah Rae Gracy, LMFT
• Stephanie Kay Grams, CPTA
• Annette Marie Grant, RPH
• Karen Way Graves, D.O.

• Clinical Social Worker in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.