Individual provider Active NPI

Dana Grammer, LCSW

  • Clinical Social Worker
  • Tomball, TX
National Provider Identifier
1972762151
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36892 Issued in TX
Practice address
14011 Park Dr Ste 100H
Tomball, TX 77377-2420
Phone
(832) 419-7324
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 36892 TX
Clinical Social Worker 1041C0700X 36892 TX Primary

Addresses

Primary practice location

14011 Park Dr Ste 100H
Tomball, TX 77377-2420

Mailing address

122 Dogwood Dr
Magnolia, TX 77355-4302
Phone (832) 419-7324

Other practice location 1

2000 North Loop W Ste 200
Houston, TX 77018-8138
Phone (713) 868-2908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180730000069 TX Practitioner - Clinical Social Worker 7416204003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince May 3, 2018 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

1405 E Washington Ave
Navasota, TX 77868
Phone (936) 825-2571

Interoperability endpoints

  • Direct secure messaging: dana.grammer.1@30520.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1972762151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DOGWOOD DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773554302",
            "telephone_number": "832-419-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 PARK DR STE 100H",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772420",
            "telephone_number": "832-419-7324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 North Loop W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770188138",
            "country_code": "US",
            "telephone_number": "713-868-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAMMER",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "36892",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.