Active NPI
Rebecca Grady, LCSW-C
- Clinical Social Worker
- Elkridge, MD
National Provider Identifier
1457824815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12207
- Practice address
- 7217 Darby Downs
Elkridge, MD 21075-5437 - Phone
- (410) 599-1528
- NPI assigned
- Jan 9, 2019
- Last updated
- Jan 9, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12207 | MD | Primary |
Addresses
Primary practice location
7217 Darby Downs
Elkridge, MD 21075-5437
Mailing address
7217 Darby Downs
Elkridge, MD 21075-5437
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 |
|---|---|---|---|
| 12207 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Therapeutic Services, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1457824815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7217 DARBY DOWNS",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7217 DARBY DOWNS",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755437",
"telephone_number": "410-599-1528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "REBECCA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkridge, MD
- Susanne Rachel Goldstein, M.D.
- William A Gormley, DPM
- June Marie Gose, PHARM.D.
- Mark Steven Gosnell, M.D.
- Chandler Gowens
- Keyana A Graham-Jackson, LCPC
- Ginger V. Graham-Lewis, PT, DPT
- Kara Grandea, M.O.M, L.AC.
- Greater Maryland Pain Management, LLC (Greater Maryland Pain Management)
- Kelsey Marie Green, LGPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.