Active NPI
Justin S Grata, LCSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1699225987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7617-C
- Practice address
- 9600 Veterans Dr SW
Tacoma, WA 98493-1320 - Phone
- (253) 582-8440
- NPI assigned
- Oct 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7617-C | NV | Primary |
Addresses
Primary practice location
9600 Veterans Dr SW
Tacoma, WA 98493-1320
Mailing address
9600 Veterans Dr SW
Tacoma, WA 98493-1320
Phone (253) 582-8440
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 |
|---|---|---|---|
| 7617-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincent D Ho Psychiatry PLLC | Past | Accepting new patients | |
| Seven Hills Hospital, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1700249224
-
- Psychiatry Physician
- Henderson, NV
- NPI 1669804688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1699225987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984931320",
"telephone_number": "253-582-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984931320",
"telephone_number": "253-582-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRATA",
"first_name": "JUSTIN",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7617-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.