Sandra Maria Grisales, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

39410 Issued in TX

Practice address

2120 N Mays St Ste 430
Round Rock, TX 78664-2108

Phone

(512) 255-5120

Fax

(512) 255-5268

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1396956348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 WHISKEY RIVER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481892",
            "telephone_number": "281-620-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAYS ST STE 430",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642108",
            "telephone_number": "512-255-5120",
            "fax_number": "512-255-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISALES",
        "first_name": "SANDRA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Grant Griffin
• Michael Griffith
• Troy Allan Griffith, MS, PA-C
• Douglas J Grimm, DPM
• Sean C. Grinovich, M.D.
• Elizabeth Anne Gritzmacher
• Erica Jane Groenendaal
• Raymond Gronross
• Lenae Gross, APRN, CPNP-PC
• Mary Frances Grove, NP

• Clinical Social Worker in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.