Grady Shumway

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

735 S 200 W Ste 1
Blanding, UT 84511-3923

Phone

(435) 678-2992

Fax

(435) 678-3116

NPI assigned

Apr 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Juan Mental Health-Substance Abuse Special Service DistrictGroup PAC ID 9638124910, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Juan Mental Health-Substance Abuse Special Service District

  dba San Juan Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blanding, UT
  • NPI 1356353692
  Medicare reassignment Care Compare group NPD
• San Juan Mental Health-Substance Abuse SSD

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Blanding, UT
  • NPI 1790898526
  NPD (past)

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1407242399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S 200 W STE 1",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113923",
            "telephone_number": "435-678-2992",
            "fax_number": "435-678-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S 200 W STE 1",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113923",
            "telephone_number": "435-678-2992",
            "fax_number": "435-678-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "GRADY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan School District
• Victoria Seweingyawma
• Dominique Sherrow
• Shauna Sherrow
• Cortney Anne Shumway
• Maverik Nicholas Shumway
• Samantha Spillman
• Sterling Black, LLC (San Juan Chiropractic & Wellness Center)
• Tangle Water Non Emergency Medical Transportation
• Taylor G Wright, PC (Innovation Medical Group)

• Clinical Social Worker in Blanding, UT
• Providers in Blanding, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.