Active NPI
Kym G. Grey, LCSW
- Clinical Social Worker
- Oceanside, CA
National Provider Identifier
1699927459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24206
- Practice address
- 1300 Rancho del Oro Rd.
Suite 1J-1I3
Oceanside, CA 92056 - Phone
- (760) 643-2086
- Fax
- (760) 643-2096
- NPI assigned
- Oct 10, 2008
- Last updated
- Mar 21, 2011
- Sex
- Female
- 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 | 24206 | CA | Primary |
Addresses
Primary practice location
1300 Rancho del Oro Rd.
Suite 1J-1I3
Oceanside, CA 92056
Mailing address
PO Box 521
San Marcos, CA 92079
Phone (760) 908-7165
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 |
|---|---|---|---|
| 24206 | CA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1699927459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 521",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "92079",
"telephone_number": "760-908-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 RANCHO DEL ORO RD.",
"address_2": "SUITE 1J-1I3",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92056",
"telephone_number": "760-643-2086",
"fax_number": "760-643-2096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "KYM",
"middle_name": "G.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "24206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.