Individual provider Active NPI

Eddie Degrand

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1598359390
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098047 Issued in NY
Practice address
110 Lafayette St RM 501
New York, NY 10013-4116
Phone
(929) 560-9290
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 098047 NY Primary
Social Worker 104100000X 102567 NY

Addresses

Primary practice location

110 Lafayette St RM 501
New York, NY 10013-4116

Mailing address

110 Lafayette St RM 501
New York, NY 10013-4116
Phone (929) 560-9290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250312000933 NY Practitioner - Clinical Social Worker 2466973052 Reassigns benefits to 2 organizations
I20260204001747 NY Practitioner - Clinical Social Worker 2466973052 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
The Epilepsy InstituteGroup PAC ID 0941191381, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

110 Lafayette St
RM 501
New York, NY 10013-4116
Phone (929) 560-9290

110 Lafayette St
RM 501
New York, NY 10013-4188

110 Lafayette St RM
Suite 501
New York, NY 10013-4116

322 8TH Ave
Suite 202
New York, NY 10001-6852
Phone 212677855011

40 Exchange PL
Suite 1700
New York, NY 10005-2700
Phone (212) 677-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098047NYMDClinical Social Worker
102567NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Epilepsy Institute Clinical CurrentSince Jan 5, 2025 Accepting new patients
The Epilepsy Institute CurrentSince Jan 5, 2025 Accepting new patients

Locations

40 Exchange Pl
Ste 1700
New York, NY 10005
Phone (212) 677-8550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1598359390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAFAYETTE ST RM 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134116",
            "telephone_number": "929-560-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAFAYETTE ST RM 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134116",
            "telephone_number": "929-560-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAND",
        "first_name": "EDDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098047",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.