Alicia Beth Grady, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33005298A Issued in IN

Practice address

1220 Missouri Ave
Behavioral Health One North Office 1922
Jeffersonville, IN 47130-3725

Phone

(812) 283-2708

Fax

(812) 283-2714

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1952570665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "address_2": "BEHAVIORAL HEALTH ONE NORTH OFFICE 1922",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-283-2708",
            "fax_number": "812-283-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "address_2": "BEHAVIORAL HEALTH ONE NORTH OFFICE 1922",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-283-2708",
            "fax_number": "812-283-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "ALICIA",
        "middle_name": "BETH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33005298A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall R. Goldschmidt, M.D.
• Francisco J Gomez Rogel
• Charles Jeffery Goodwin, M.D.
• George William Gossmann, MD
• Jennifer Grable
• Christopher Scott Grady, MD
• Treasa Ann Grangier, FNP
• Christine D Grass, APRN
• Olivia Catherine Grass, MSN, RN, FNP-C
• Jayona Nashay Gray, LMCHA

• Clinical Social Worker in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.