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MARK W GRADY CADCIII
NPI 1154411528
Counselor - Addiction (Substance Use Disorder) in Woodruff, WI

Active since October 13, 2006
240 MAPLE STREET, WOODRUFF, WI 54568(715) 356-8000 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark W Grady Cadciii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK W GRADY CADCIII (NPI 1154411528) is an individual addiction (substance use disorder) provider in Woodruff, Wisconsin, licensed in Wisconsin (14200) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1154411528
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK W GRADYCredential: CADCIII
Location Address240 MAPLE STREETWoodruff, WI 54568-0470
Mailing Address240 Maple Street, Po Box 470Woodruff, WI 54568-0470 · (715) 356-8000
Phone(715) 356-8000
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1154411528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 14200
240 MAPLE STREET, Woodruff, WI 54568
Open in Google Maps ↗

Other Identifiers 1

Medicaid39333500WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHIE I ABEL CADCIII
Counselor (Addiction (Substance Use Disorder))
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8537
GAIL A WEINAND OTA
Occupational Therapy Assistant
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8000
MICHAEL J MIKE OTR
Occupational Therapist
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8000
CRYSTAL J ANDERSON OT
Occupational Therapist
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8000
NICOLE L DAVIS LAT
Specialist/Technologist (Athletic Trainer)
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8000
JAMES L HATCH MD
Radiology (Diagnostic Radiology)
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8000
GREG S HOLT PT
Physical Therapist
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8000
BRENDA L OSOWSKI PT
Physical Therapist
240 MAPLE STREET
WOODRUFF, WI 54568
Oneida County (715) 356-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Grady's NPI number?

The NPI number for Mark Grady is 1154411528. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mark Grady located?

Mark Grady practices at 240 Maple Street, Woodruff, WI 54568. The listed phone number is (715) 356-8000.

What is Mark Grady's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Grady was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.