Individual provider Active NPI

Kara Danielle Grayson, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1811517626
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
092864 Issued in NY
Practice address
68 Jay St Ste 409
Brooklyn, NY 11201-8361
Phone
(608) 658-1158
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092864 NY Primary

Addresses

Primary practice location

68 Jay St Ste 409
Brooklyn, NY 11201-8361

Mailing address

265 State St Apt 811
Brooklyn, NY 11201-4425

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgrayson@tetedumbo.com Direct

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

LicenseStateTypeSpecialty
092864NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tete Dumbo LCSW CurrentSince Apr 26, 2020 Accepting new patients

Locations

68 Jay St
Ste 409
Brooklyn, NY 11201
Phone (646) 477-4912

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1811517626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 STATE ST APT 811",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 JAY ST STE 409",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112018361",
            "telephone_number": "608-658-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "KARA",
        "middle_name": "DANIELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgrayson@tetedumbo.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "68 Jay St Ste 409",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112018361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.