Active NPI
Jessica Leigh Grasz, PLMHP, PCMSW
- School Social Worker
- Kearney, NE
National Provider Identifier
1396204756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 11652
- Practice address
- 300 W 24TH St
Kearney, NE 68845-5345 - Phone
- (402) 750-8866
- NPI assigned
- Mar 15, 2019
- Last updated
- Mar 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 7303 | NE | |
| School Social Worker | 1041S0200X | 11652 | NE | Primary |
Addresses
Primary practice location
300 W 24TH St
Kearney, NE 68845-5345
Mailing address
1022 Lincoln St
Holdrege, NE 68949-1931
Phone (402) 750-8866
Other practice location 1
310 W 24th St
Kearney, NE 68845-5331
Phone (402) 750-8866
Other practice location 2
1010 E 53rd St
Kearney, NE 68847-8599
Phone (402) 750-8866
Other names 1
- Jessica Leigh Michaels
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 |
|---|---|---|---|
| 11652 | NE | MD | School Social Worker |
| 7303 | NE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1396204756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 LINCOLN ST",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689491931",
"telephone_number": "402-750-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 24TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688455345",
"telephone_number": "402-750-8866"
}
],
"practiceLocations": [
{
"address_1": "310 W 24th St",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688455331",
"country_code": "US",
"telephone_number": "402-750-8866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 E 53rd St",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688478599",
"country_code": "US",
"telephone_number": "402-750-8866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRASZ",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"credential": "PLMHP, PCMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "7303",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "11652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MICHAELS",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.