Melissa Marie Grudinski, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2013 Elm St
Manchester, NH 03104-2528

Phone

(603) 627-2702

Fax

(603) 627-3463

NPI assigned

Aug 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pastoral Counseling Services-United Church of Christ, Inc.Group PAC ID 2567442627, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brightleaf, Inc

  • Adult Mental Health Clinic/Center
  • Manchester, NH
  • NPI 1306934757
  Medicare reassignment Care Compare group NPD
• Inner Nature Counseling PLLC

  • Clinical Social Worker
  • Exeter, NH
  • NPI 1144907213
  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1235618703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042528",
            "telephone_number": "603-627-2702",
            "fax_number": "603-627-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042528",
            "telephone_number": "603-627-2702",
            "fax_number": "603-627-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUDINSKI",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth-Anne Karen Grondin
• Katherine Barbara Grondin, P.A
• Pamela Darlene Grove, DPT
• Kipp Donley Grubbs, BA
• Benjamin J Grudinskas Jr., MD
• Eric Grzybinski
• Hilary Grzywacz, DPT
• Rachel Gual, PA-C
• Guardian Wheels LLC
• Amelia Elizabeth Guarino, BA

• Clinical Social Worker in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.