Organization Active NPI

G3 Grace Grit Growth LLC

  • Clinical Social Worker
  • Brookings, SD
National Provider Identifier
1033980347
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
G3 GRACE GRIT GROWTH LLC
Practice address
212 5TH Ave Ste 1
Brookings, SD 57006-2094
Phone
(605) 350-4812
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Nikki Eining, CSW-PIPNPI 1194908590
Title
Certified Social Worker
Phone
(605) 350-4812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

212 5TH Ave Ste 1
Brookings, SD 57006-2094

Mailing address

226 Hickory St
Brookings, SD 57006-4149
Phone (605) 350-4812

Other practice location 1

226 Hickory St
Brookings, SD 57006-4149
Phone (605) 350-4812

Other identifiers 1

IdentifierTypeStateIssuer
4723OtherSDBOARD OF SOCIAL WORK EXAMINERS

National Provider Directory

National Provider Directory

Locations

212 5th Ave
Ste 1
Brookings, SD 57006
Phone (605) 350-4812

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1033980347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 HICKORY ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064149",
            "telephone_number": "605-350-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 5TH AVE STE 1",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062094",
            "telephone_number": "605-350-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570064149",
            "country_code": "US",
            "telephone_number": "605-350-4812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "G3 GRACE GRIT GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "EINING",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CERTIFIED SOCIAL WORKER",
        "authorized_official_telephone_number": "605-350-4812",
        "authorized_official_credential": "CSW-PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "4723",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.