Individual provider Active NPI

Meliesa Hope Griswold, LMSW

  • Social Worker
  • Wichita, KS
National Provider Identifier
1275233736
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12959 Issued in KS
Practice address
545 N Woodlawn St
Wichita, KS 67208-3645
Phone
(316) 260-6889
NPI assigned
Mar 3, 2023
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 12959 KS Primary

Addresses

Primary practice location

545 N Woodlawn St
Wichita, KS 67208-3645

Mailing address

919 S Whippoorwill Rd
Derby, KS 67037-3627
Phone (316) 619-6622

Other names 1

  • Hope Griswold Other name

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
12959KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ict Therapy Works, LLC CurrentSince Mar 5, 2023 Accepting new patients

Locations

545 N Woodlawn St
Wichita, KS 67208
Phone (316) 260-6889

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1275233736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 S WHIPPOORWILL RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373627",
            "telephone_number": "316-619-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083645",
            "telephone_number": "316-260-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "MELIESA",
        "middle_name": "HOPE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "12959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOPE",
            "last_name": "GRISWOLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.