Jo Barrett Grellong, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR014231-1 Issued in NY

Practice address

205 W 89TH St
Apt 11G
New York, NY 10024-1838

Phone

(212) 595-1788

Fax

(212) 875-8797

NPI assigned

Sep 30, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1973

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Board of Family & Childrens Services Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689755662
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1023101441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 89TH ST",
            "address_2": "APT. 11G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241828",
            "telephone_number": "212-595-1788",
            "fax_number": "212-875-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 89TH ST",
            "address_2": "APT 11G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241838",
            "telephone_number": "212-595-1788",
            "fax_number": "212-875-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLONG",
        "first_name": "JO",
        "middle_name": "BARRETT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR014231-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-VALUE OPTIONS",
            "identifier": "0062504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yende Grell
• Candice Elizabeth Grella, LMHC
• Emma Danielle Grellinger
• Cassandra Mia Grello
• Bruce A. Grellong, PH.D.
• Ronald Grelsamer, M.D.
• Ashley Connell Gremillion, RN
• Grigoriy Grenader, D.O.
• Gayle M Grenadier, D.M.D.
• Jonathan Grenadir, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.