Provider Demographics
NPI:1841988151
Name:GRAPSAS, BLAINE E (LCSW)
Entity type:Individual
Prefix:
First Name:BLAINE
Middle Name:E
Last Name:GRAPSAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:NH
Mailing Address - Zip Code:03741-7743
Mailing Address - Country:US
Mailing Address - Phone:201-761-9793
Mailing Address - Fax:
Practice Address - Street 1:77 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-1022
Practice Address - Country:US
Practice Address - Phone:201-761-9793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061756001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical