Harriet Mari Grande, LCSW-R, LCAT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73 076740 Issued in NY

Practice address

295 Madison Ave FL 12
New York, NY 10017-6379

Phone

(212) 871-6856

Fax

(615) 858-7576

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Mari Grande Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 20, 2021 through Jan 20, 2027

Medicare enrollment (NPD)

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.

• Harriet Mari Grande

  • Clinical Social Worker
  • New York, NY
  • NPI 1043792526
  NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1548345333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KAPPOCK ST APT 26A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636434",
            "telephone_number": "917-535-7576",
            "fax_number": "615-858-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MADISON AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176379",
            "telephone_number": "212-871-6856",
            "fax_number": "615-858-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "HARRIET",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72 071122",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "72071122",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "05000197",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 076740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mari@marigrande.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Address",
            "address_1": "295 Madison Ave Fl 12",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARI",
            "last_name": "GRANDE",
            "prefix": "MS.",
            "credential": "LCSW, LCAT, ATR-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anne M Grand, PHD
• Carole Grand, PHD
• Elizabeth Grand
• Clara Granda-Cameron IV, CRNP
• Caren E Grande, LCSW
• Kelly Joanne Grande, NP
• Hayley Grandeau
• Anthony John Grandelis, MD
• Keisha Grandison
• Keisha Grandison

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.