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NPI Code Detail

MEDICARE: CARY-GRACE JAMES LCSW

MEDICARE:   CARY-GRACE  JAMES  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904020256VA

General Provider Information

NPI Number : 1649115601
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARY-GRACE JAMES LCSW
Provider Business Mailing Address
First Line : 607 HIGHLAND AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24013-2335
Country : US
Telephone Number : 540-904-9880
Fax Number :
Provider Business Practice Location Address
First Line : 2545 SANFORD AVE SW
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1123
Country : US
Telephone Number : 540-358-0765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ CARY-GRACE JAMES LCSW” Practice Location

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