Vanessa German Graves Counseling & Consultation Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0996C Issued in AL

Legal business name

VANESSA GERMAN GRAVES COUNSELING & CONSULTATION SERVICES, LLC

Practice address

521 Energy Center Blvd Ste 1506
Northport, AL 35473

Phone

(205) 737-7678

Fax

(205) 737-7681

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa German Graves, LICSW, PIPNPI 1134619059

Title

Individual Practationer

Phone

(205) 737-7678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Graves, LICSW, PIP

  • Clinical Social Worker
  • Northport, AL
  • NPI 1134619059
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692489600000",
    "number": "1396221503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ENERGY CENTER BLVD STE 1506",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735833",
            "telephone_number": "205-737-7678",
            "fax_number": "205-737-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ENERGY CENTER BLVD STE 1506",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35473",
            "telephone_number": "205-737-7678",
            "fax_number": "205-737-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA GERMAN GRAVES COUNSELING & CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "GERMAN",
        "authorized_official_title_or_position": "INDIVIDUAL PRACTATIONER",
        "authorized_official_telephone_number": "205-737-7678",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0996C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Northport, AL
• Providers in Northport, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.