CONNIE R GRADNEY (NPI# 1417206244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417206244 |
| Entity Type | Individual |
| Full Name | CONNIE R GRADNEY |
| Credential | LBSW |
| Practice Address |
2135 Willowglen Dr. Beaumont TX 77707-0000 |
| Practice Telephone | 4098614036 |
| Practice Fax Number | 4098614036 |
| Mailing Telephone | 4098614036 |
| Mailing Fax Number | 4098614036 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 51911 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2135 WILLOWGLEN DR. |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307070 | Kalisha Vault | Social Worker | 115 Temple Ave, Beaumont, CA 92223-3154 | 2019-07-03 |
| 1336591411 | Ana Genece | Social Worker | 1398 Shamrock Way, Beaumont, CA 92223-8461 | 2016-07-12 |
| 1184064115 | Latineya Detrice Henderson | Social Worker | 5720 Brett Ln, Beaumont, TX 77713-9207 | 2013-07-05 |
| 1952659120 | Laura Ruth Vaughn | Social Worker | 4405 Fortune Ln, Beaumont, TX 77705-4831 | 2012-08-20 |
| 1558524694 | Rita Jewel Sims | Social Worker | 3380 Edmonds St, Beaumont, TX 77705-2806 | 2008-07-09 |
| 1194799809 | Christine Gordon Hunter | Social Worker | 990 Ih 10 N Ste 140, Beaumont, TX 77702-1051 | 2006-02-17 |
| 1194710152 | Linda A Niemann | Social Worker | 738 Euclid Ave, Beaumont, CA 92223-5945 | 2005-09-15 |
| 1487999249 | Work of My Hands | Social Worker | 4405 Fortune Ln, Beaumont, TX 77705-4831 | 2012-12-05 |
| 1912278698 | Amy L Everett | Social Worker | 3570 College St, Suite 200, Beaumont, TX 77701-4683 | 2012-01-26 |
| 1124297502 | Merrie Ellen Ingalls-webb | Social Worker | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2008-02-29 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on CONNIE R GRADNEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.