National Provider Identifier
Tatanisha D Grady, LMSW
Tatanisha D Grady, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 835-4011.
Profile Overview
- NPI
- 1598801722
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 29, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3350 Main Street
- Buffalo, NY 14214
Phone: (716) 835-4011
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1598801722
- Entity Type
- Individual
- Last Name
- Grady
- First Name
- Tatanisha
- Middle Name
- D
- Name Prefix
- MS.
- Credential
- LMSW
- Mailing Street Address
- 3350 Main Street
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214
- Mailing Country
- US
- Mailing Phone
- (716) 835-4011
- Mailing Fax
- (716) 835-0253
- Practice Street Address
- 3350 Main Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214
- Practice Country
- US
- Practice Phone
- (716) 835-4011
- Practice Fax
- (716) 835-0253
- Enumeration Date
- January 29, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)