Active NPI
Rusty Buck Griffith, LMSW
- Social Worker
- Rochester, NY
National Provider Identifier
1023393568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72082217
- Practice address
- 271 Squareview LN
Rochester, NY 14626-1864 - Phone
- (585) 698-4689
- NPI assigned
- Oct 17, 2011
- Last updated
- Oct 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72082217 | NY | Primary |
Addresses
Primary practice location
271 Squareview LN
Rochester, NY 14626-1864
Mailing address
271 Squareview LN
Rochester, NY 14626-1864
Phone (585) 698-4689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72082217 | Other | NY | LMSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72082217 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1023393568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 SQUAREVIEW LN",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146261864",
"telephone_number": "585-698-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 SQUAREVIEW LN",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146261864",
"telephone_number": "585-698-4689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "RUSTY",
"middle_name": "BUCK",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72082217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "72082217",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.