NPIMap

Organization Active NPI

Social Work Connection

  • Case Management Agency
  • Waco, TX
National Provider Identifier
1821294349
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
33966 Issued in TX
Legal business name
SOCIAL WORK CONNECTION
Practice address
421 Villa Dr
#209
Waco, TX 76710-7034
Phone
(254) 405-2702
Fax
(866) 686-9651
NPI assigned
Jun 22, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Ms. Gayla K Grisham, LBSWNPI 1114058245
Title
Executive Director
Phone
(254) 405-2702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 33966 TX Primary

Addresses

Primary practice location

421 Villa Dr
#209
Waco, TX 76710-7034

Mailing address

421 Villa Dr
#209
Waco, TX 76710-7034
Phone (254) 405-2702

Other identifiers 1

IdentifierTypeStateIssuer
33966OtherTXSW LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Social Work Connection2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1821294349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 VILLA DR",
            "address_2": "#209",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107034",
            "telephone_number": "254-405-2702",
            "fax_number": "866-686-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 VILLA DR",
            "address_2": "#209",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107034",
            "telephone_number": "254-405-2702",
            "fax_number": "866-686-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WORK CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "GRISHAM",
        "authorized_official_first_name": "GAYLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "254-405-2702",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "33966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SW LICENSE",
            "identifier": "33966",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.