Active NPI
Denise Graybeal, LMSW, LMT
- Social Worker
- Richmond Hill, GA
National Provider Identifier
1558869065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29122
- Practice address
- 1102 Waybridge Way
Richmond Hill, GA 31324-7856 - Phone
- (301) 706-2496
- NPI assigned
- Jan 30, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M04281 | MD | |
| Massage Therapist | 225700000X | MT014041 | GA | |
| Social Worker | 104100000X | 29122 | MD | Primary |
Addresses
Primary practice location
1102 Waybridge Way
Richmond Hill, GA 31324-7856
Mailing address
10801 Hickory Ridge Rd Ste 220
Columbia, MD 21044-3871
Phone (301) 706-2496
Other practice location 1
170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909
Phone (443) 291-8090
Other practice location 2
9976 Ford Ave Ste B
Richmond Hill, GA 31324-3900
Phone (912) 376-9553
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 |
|---|---|---|---|
| 29122 | MD | MD | Social Worker |
| MT014041 | GA | MD | Massage Therapist |
| M04281 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1558869065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 HICKORY RIDGE RD STE 220",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443871",
"telephone_number": "301-706-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 WAYBRIDGE WAY",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313247856",
"telephone_number": "301-706-2496"
}
],
"practiceLocations": [
{
"address_1": "170 Jennifer Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214017909",
"country_code": "US",
"telephone_number": "443-291-8090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9976 Ford Ave Ste B",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313243900",
"country_code": "US",
"telephone_number": "912-376-9553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAYBEAL",
"first_name": "DENISE",
"credential": "LMSW, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04281",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT014041",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.