Organization Active NPI

Linda Grayson LCSW LLC

  • Clinical Social Worker
  • Shreveport, LA
National Provider Identifier
1336855279
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LINDA GRAYSON LCSW LLC
Practice address
820 Jordan St Ste 570
Shreveport, LA 71101-4512
Phone
(318) 221-4455
Fax
(318) 221-5599
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Linda I Grayson, LCSWNPI 1669626842
Title
Provider
Phone
(318) 840-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

820 Jordan St Ste 570
Shreveport, LA 71101-4512

Mailing address

820 Jordan St Ste 570
Shreveport, LA 71101-4512
Phone (318) 221-4455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1336855279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 570",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "318-221-4455",
            "fax_number": "318-221-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 570",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014512",
            "telephone_number": "318-221-4455",
            "fax_number": "318-221-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA GRAYSON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "318-840-5880",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.