NPIMap

Organization Active NPI

Gracewell Studios LLC

  • Social Worker
  • Madison, AL
National Provider Identifier
1548939358
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
GRACEWELL STUDIOS LLC
Practice address
103A Spenryn Dr
Madison, AL 35758-1891
Phone
(734) 726-0253
NPI assigned
Sep 7, 2021
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Patricia McCarthy, LMSW, LICSWNPI 1740562735
Title
Managing Owner, Psychotherapist
Phone
(734) 726-0253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

103A Spenryn Dr
Madison, AL 35758-1891

Mailing address

103A Spenryn Dr
Madison, AL 35758-1891
Phone (734) 726-0253

Other practice location 1

1100 Victors Way Ste 10
Ann Arbor, MI 48108-5220
Phone (734) 726-0253

Other practice location 2

10 Common Rd Ste 582
Ashby, MA 01431-2323
Phone (734) 726-0253

National Provider Directory

National Provider Directory

Locations

103A Spenryn Dr
Madison, AL 35758
Phone (734) 726-0253

10 Common Rd
Ste 582
Ashby, MA 01431
Phone (734) 726-0253

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1548939358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103A SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581891",
            "telephone_number": "734-726-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581891",
            "telephone_number": "734-726-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Victors Way Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481085220",
            "country_code": "US",
            "telephone_number": "734-726-0253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Common Rd Ste 582",
            "address_purpose": "LOCATION",
            "city": "Ashby",
            "state": "MA",
            "postal_code": "014312323",
            "country_code": "US",
            "telephone_number": "734-726-0253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACEWELL STUDIOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGING OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-726-0253",
        "authorized_official_credential": "LMSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.