Laura Grandy, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0906009723 Issued in VA

Practice address

2579 John Milton Dr Ste 210
Herndon, VA 20171-2564

Phone

(703) 214-4925

Fax

(703) 214-4925

NPI assigned

Dec 2, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Oak Hill Psychological Services, PLLC

  • Psychologist
  • Herndon, VA
  • NPI 1447868575
  NPD
• Dan Roth, PLLC

  • Mental Health Counselor
  • Herndon, VA
  • NPI 1417802315
  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1427716844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR STE 210",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712564",
            "telephone_number": "703-214-4925",
            "fax_number": "703-214-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 JOHN MILTON DR STE 210",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712564",
            "telephone_number": "703-214-4925",
            "fax_number": "703-214-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDY",
        "first_name": "LAURA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906009723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://oakhillpsychological.com/",
            "affiliation": "N",
            "address_1": "2579 John Milton Dr Ste 210",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201712564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Goss, MS, CCC-SLP
• George Gotsiridze, DMD
• Nour Gowharji, BDS,DMD
• Gracewell Inc
• Marcos A Grande, DDS
• Colin Nicholas Grant, O.D,
• Gravity Spine LLC
• Cameron Gray
• Jennifer Graydon
• Michael Thomas Greelis, PH.D.

• Clinical Social Worker in Herndon, VA
• Providers in Herndon, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.