Roger Grape, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25323 Issued in TX

Practice address

6449 Norway Rd
Dallas, TX 75230-5146

Phone

(214) 502-7084

NPI assigned

Jun 4, 2012

Last updated

Jun 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Legacy Counseling Center Inc

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1770510075
  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1427319607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 NORWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305146",
            "telephone_number": "214-502-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 NORWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305146",
            "telephone_number": "214-502-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAPE",
        "first_name": "ROGER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "25323",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Elizabeth Grantham, MD
• Patricia A Grantham, M.S., P.T.
• Granthem PLLC
• Jenna Dawn Grantz, M.S. CCC-SLP
• Dominque Granville
• Peyton Graphia
• Shannon Grappe, APRN
• Grateful Heart Medical Services PLLC
• Gratitude House
• Rachel K Gratz, PA

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, 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 Jun 4, 2012; 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.