Individual provider Active NPI

Carolyn Honea Grace, LCSW, DCSW, ACHI

  • Social Worker
  • Houston, TX
National Provider Identifier
1831441740
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S16636 Issued in TX
Practice address
5120 Woodway Drive, Suite 9015
Houston, TX 77056-5322
Phone
(713) 278-8180
Fax
(713) 729-5853
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 S16636 TX Primary

Addresses

Primary practice location

5120 Woodway Drive, Suite 9015
Houston, TX 77056-5322

Mailing address

P.O. Box 35501
Houston, TX 77235-5501
Phone (713) 278-8180

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
S16636TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1831441740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 35501",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772355501",
            "telephone_number": "713-278-8180",
            "fax_number": "713-729-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 WOODWAY DRIVE, SUITE 9015",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565322",
            "telephone_number": "713-278-8180",
            "fax_number": "713-729-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "CAROLYN",
        "middle_name": "HONEA",
        "name_prefix": "Ms.",
        "credential": "LCSW, DCSW, ACHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "S16636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.