Active NPI
Mary Grace, LCSW
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1740746957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6951
- Practice address
- 1203 Memorial Blvd Ste E
Murfreesboro, TN 37129 - Phone
- (615) 904-6490
- NPI assigned
- Feb 12, 2019
- 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 | 6951 | TN | Primary |
Addresses
Primary practice location
1203 Memorial Blvd Ste E
Murfreesboro, TN 37129
Mailing address
275 Cumberland BND
Nashville, TN 37228-1805
Phone (615) 726-3340
Other practice location 1
100 Berrywood Dr
Columbia, TN 38401-6408
Phone (615) 726-3340
Other practice location 2
275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340
Other practice location 3
275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340
Other names 1
- Mary Damm
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1740746957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CUMBERLAND BND",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281805",
"telephone_number": "615-726-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 MEMORIAL BLVD STE E",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37129",
"telephone_number": "615-904-6490"
}
],
"practiceLocations": [
{
"address_1": "100 Berrywood Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "TN",
"postal_code": "384016408",
"country_code": "US",
"telephone_number": "615-726-3340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Cumberland Bnd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37228",
"country_code": "US",
"telephone_number": "615-726-3340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Cumberland Bnd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37228",
"country_code": "US",
"telephone_number": "615-726-3340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRACE",
"first_name": "MARY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DAMM",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.