Active NPI
Linda Grayson LCSW LLC
- Clinical Social Worker
- Shreveport, LA
National Provider Identifier
1336855279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda I Grayson, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryPractitioners & 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.
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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.