Ariya F McGrory, LCSW
Individual provider Active NPI Clinical Social Worker · Shalimar, FL
NPI 1861792467 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1861792467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW17973 (FL)
- Practice address
- 4 9TH Ave Ste F
Shalimar, FL 32579-1742 - Phone
- (509) 999-9414
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210113000646 | FL | Practitioner - Clinical Social Worker | 0042623068 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-07757 | NM | MD | Mental Health Counselor |
| SW17973 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Center Inc | Mental Health | Current |
Accepting new patients |
| Bridgeway Center, Inc | Current |
Accepting new patients | |
| Mental Health Resources, Inc. | Mental Health | Past | Accepting new patients |
| The Healing Impact, Inc | Mental Health | Past | Accepting new patients |
| Mental Health Resources, Inc. | Mental Health | Past | Accepting new patients |
Locations
137 Hospital Dr NE
Ft Walton Bch, FL 32548
Phone (850) 226-8857
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/557d7750-391a-46cd-b368-48399c62b8b9/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M-07757 | NM | |
| Clinical Social Worker | 1041C0700X | SW17973 | FL | Yes |
Addresses
Primary practice location
4 9TH Ave Ste F
Shalimar, FL 32579-1742
Mailing address
4 9TH Ave Ste F
Shalimar, FL 32579-1742
Phone (509) 999-9414
Other practice location 1
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5015
Phone (850) 833-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861792467 | Medicaid | NM |
Other providers in Shalimar, FL
- Mathew S Johnson MD PLLC
- Marisa McCormack
- Randi Nichols McDonald
- Tracey Lynn McDonough
- Megan McGoldrick
- Ann McManis
- Mefl, LLC
- Meng78 Corporation
- Ciara Micacchione
- Harmony Micacchione
All providers in Shalimar, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.