Graceann Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRACEANN CORP

Practice address

15916 Union Tpke
Ste 325
Fresh Meadows, NY 11366-1963

Phone

(718) 909-8908

Fax

(718) 471-9853

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Grace Ann Foster, LCSW

Title

Owner

Phone

(718) 909-8908

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1831756774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115590655",
            "telephone_number": "718-909-8908",
            "fax_number": "718-471-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 UNION TPKE",
            "address_2": "STE 325",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661963",
            "telephone_number": "718-909-8908",
            "fax_number": "718-471-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEANN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-909-8908",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 May 28, 2019; 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.