Individual provider Active NPI

Cole Griesedieck

  • Social Worker
  • New York, NY
National Provider Identifier
1205407103
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
16 E 79TH St Ste 44
New York, NY 10075-0150
Phone
(314) 239-3707
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

16 E 79TH St Ste 44
New York, NY 10075-0150

Mailing address

16 E 79TH St Ste 44
New York, NY 10075-0150
Phone (314) 239-3707

Other identifiers 1

IdentifierTypeStateIssuer
106997OtherLMSW

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cole@jmwtherapy.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
JMW Therapy, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

16 E 79th St
Ste 44
New York, NY 10075
Phone (314) 239-3707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1205407103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST STE 44",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750150",
            "telephone_number": "314-239-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST STE 44",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750150",
            "telephone_number": "314-239-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESEDIECK",
        "first_name": "COLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "106997",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cole@jmwtherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16 E 79th St Ste 44",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100750150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.