Mark Graves, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801033930 Issued in MI

Practice address

450 Morris Ave
Suite 117
Muskegon, MI 49440-1104

Phone

(231) 725-8143

Fax

(231) 722-6484

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1407898398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MORRIS AVE",
            "address_2": "SUITE 117",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401104",
            "telephone_number": "231-725-8143",
            "fax_number": "231-722-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MORRIS AVE",
            "address_2": "SUITE 117",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401104",
            "telephone_number": "231-725-8143",
            "fax_number": "231-722-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA #",
            "identifier": "1036857",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN #",
            "identifier": "P11126253",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH #",
            "identifier": "131428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Hearing Centers, LLC
• Cibele Maziliauskas Granito, PT
• Erwin Leroy Grasman, MD
• Wendi A Grasman, PA
• Octavia B Graur, MD PHD
• Michelle Lynne Gravlin, OTR
• Carrie J Gray, LMSW
• Kathleen Marie Gray, PA
• Shakia Gray
• Great Lakes Hope LLC

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.