Alicia Marie Lore-Grachan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079506 Issued in NY

Practice address

256 Washington St
Mount Vernon, NY 10553-1052

Phone

(914) 613-0700

Fax

(914) 664-8189

NPI assigned

Jun 22, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Alicia Marie Lore Former name

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PCGroup PAC ID 4082089461, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1508325184

  NY

  Medicare reassignment Care Compare group
• The Guidance Center of Westchester, Inc

  • Community/Behavioral Health Agency
  • Mount Vernon, NY
  • NPI 1861506974
  Medicare reassignment
• The Guidance Center of Westchester

  • Community/Behavioral Health Agency
  • Mount Vernon, NY
  • NPI 1285218073
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1790167260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTHFIELD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221517",
            "telephone_number": "914-523-6721",
            "fax_number": "914-664-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 WASHINGTON ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531052",
            "telephone_number": "914-613-0700",
            "fax_number": "914-664-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORE-GRACHAN",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "LORE",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie-Micheline Lominy, M.D
• Gustavo Lopez Jr.
• Lindsay Lopez, CCC-SLP
• Rita Angela Lopilato-Roth, R.N.
• Sandra Lopresti, M.S. CCC-SLP/TSHH
• Faviola Louis
• John Louis
• Patrina Louis, OTA
• Sonja Sharlene Louis, LPN
• Woodly Louis, RN

• Clinical Social Worker in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.