Active NPI
Megan C Grady, LCSW
- Social Worker
- Dayton, OH
National Provider Identifier
1780108258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.2103020
- Practice address
- 6601 Centerville Business Pkwy Ste 310
Dayton, OH 45459-2691 - Phone
- (216) 468-5000
- NPI assigned
- Jul 27, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MC16763 | ME | |
| Clinical Social Worker | 1041C0700X | LC18120 | ME | |
| Social Worker | 104100000X | I.2103020 | OH | Primary |
Addresses
Primary practice location
6601 Centerville Business Pkwy Ste 310
Dayton, OH 45459-2691
Mailing address
25101 Chagrin Blvd Ste 100
Beachwood, OH 44122-5694
Phone (216) 468-5000
Other practice location 1
100 Campus Ave Ste A&b
Lewiston, ME 04240-6040
Phone (207) 755-3434
Other names 1
- Megan C Latour
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC16763 | ME | MD | Social Worker |
| LC18120 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1780108258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25101 CHAGRIN BLVD STE 100",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225694",
"telephone_number": "216-468-5000",
"fax_number": "216-456-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 CENTERVILLE BUSINESS PKWY STE 310",
"city": "DAYTON",
"state": "OH",
"postal_code": "454592691",
"telephone_number": "216-468-5000"
}
],
"practiceLocations": [
{
"address_1": "100 Campus Ave Ste A&b",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042406040",
"country_code": "US",
"telephone_number": "207-755-3434",
"fax_number": "207-755-3474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "MEGAN",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC16763",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC18120",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.2103020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "LATOUR",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.