Grazia Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004620 Issued in GA

Legal business name

GRAZIA THERAPEUTIC SERVICES

Practice address

110 Mansell Cir
Suite 105
Roswell, GA 30075-3799

Phone

(470) 214-9918

NPI assigned

Jul 15, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Marina Renee Rutkowski, LCSW

Title

Director

Phone

(470) 214-9918

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342310400000",
    "number": "1588919609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MANSELL CIR",
            "address_2": "SUITE 105",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753799",
            "telephone_number": "470-214-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MANSELL CIR",
            "address_2": "SUITE 105",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753799",
            "telephone_number": "470-214-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAZIA THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-15",
        "last_updated": "2012-07-15",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-214-9918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Grantham
• Caroline Graves, APC
• Mark L Gravlee, M.D.
• Bonnie Gray-Mauldin
• James Burnard Gray, D.M.D.
• Great Health Medical Ga PC
• Greater Atlanta Integrative Pediatrics
• Ashley Green
• Leah Green
• William Shelton Green, ATC

• Clinical Social Worker in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.