Individual provider Active NPI

Erika Leigh Grandberg, MSW

  • Clinical Social Worker
  • Tarpon Springs, FL
National Provider Identifier
1104229079
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW-10395 Issued in FL
Practice address
210 S Pinellas Ave
Suite 250
Tarpon Springs, FL 34689-3672
Phone
(727) 946-0399
NPI assigned
Oct 6, 2014
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW-10395 FL Primary

Addresses

Primary practice location

210 S Pinellas Ave
Suite 250
Tarpon Springs, FL 34689-3672

Mailing address

210 S Pinellas Ave
Suite 250
Tarpon Springs, FL 34689-3672
Phone (727) 946-0399

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW-10395FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1104229079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PINELLAS AVE",
            "address_2": "SUITE 250",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893672",
            "telephone_number": "727-946-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PINELLAS AVE",
            "address_2": "SUITE 250",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893672",
            "telephone_number": "727-946-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDBERG",
        "first_name": "ERIKA",
        "middle_name": "LEIGH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-10395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.