Active NPI
Dana Grammer, LCSW
- Clinical Social Worker
- Tomball, TX
National Provider Identifier
1972762151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36892
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180730000069 | TX | Practitioner - Clinical Social Worker | 7416204003 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care LLC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.