Individual provider Active NPI

Ariya F McGrory, LCSW

  • Clinical Social Worker
  • Shalimar, FL
National Provider Identifier
1861792467
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17973 Issued in FL
Practice address
4 9TH Ave Ste F
Shalimar, FL 32579-1742
Phone
(509) 999-9414
NPI assigned
Oct 28, 2010
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X M-07757 NM
Clinical Social Worker 1041C0700X SW17973 FL Primary

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 1

IdentifierTypeStateIssuer
1861792467MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113000646 FL Practitioner - Clinical Social Worker 0042623068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-07757NMMDMental Health Counselor
SW17973FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Center, Inc CurrentSince Jan 11, 2021 Accepting new patients
Bridgeway Center Inc Mental Health CurrentSince Jan 11, 2021 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/557d7750-391a-46cd-b368-48399c62b8b9/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1861792467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 9TH AVE STE F",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791742",
            "telephone_number": "509-999-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 9TH AVE STE F",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791742",
            "telephone_number": "509-999-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Hospital Dr NE",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325485015",
            "country_code": "US",
            "telephone_number": "850-833-7500",
            "fax_number": "850-833-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRORY",
        "first_name": "ARIYA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "M-07757",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861792467",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shalimar, FL

Sources for this page

Verify at the official NPI Registry.