Active NPI
Stephanie Graudons, LMSW
- Social Worker
- Rutland, VT
National Provider Identifier
1477840130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 082305
- Practice address
- 78 S Main St
Rutland, VT 05701-4530 - Phone
- (802) 775-2381
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 082305 | NY | Primary |
Addresses
Primary practice location
78 S Main St
Rutland, VT 05701-4530
Mailing address
78 S Main St
Rutland, VT 05701-4530
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 |
|---|---|---|---|
| 082305 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1477840130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 S MAIN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 S MAIN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014530",
"telephone_number": "802-775-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUDONS",
"first_name": "STEPHANIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "082305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.