Active NPI
Grysell Fabaro
- Social Worker
- Chandler, AZ
National Provider Identifier
1407688401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-22353
- Practice address
- 400 N Coronado St Apt 1055
Chandler, AZ 85224-4187 - Phone
- (602) 245-1364
- NPI assigned
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-22353 | AZ | Primary |
Addresses
Primary practice location
400 N Coronado St Apt 1055
Chandler, AZ 85224-4187
Mailing address
2820 S Alma School Rd # 18-626
Chandler, AZ 85286-4392
Phone (602) 245-1364
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 |
|---|---|---|---|
| LMSW-22353 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1407688401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 S ALMA SCHOOL RD # 18-626",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852864392",
"telephone_number": "602-245-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N CORONADO ST APT 1055",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244187",
"telephone_number": "602-245-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABARO",
"first_name": "GRYSELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-22353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.