Leila Renee Grubbs, MSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106545-1 Issued in NY

Practice address

140 Chancellor Avenue
1B
Newark, NJ 07112

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Leila Renee Riddick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1316588122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CHANCELLOR AVE APT B1",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121985",
            "telephone_number": "929-235-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHANCELLOR AVENUE",
            "address_2": "1B",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "LEILA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "106545-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106545-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILA",
            "last_name": "RIDDICK",
            "middle_name": "RENEE",
            "credential": "MSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Grimshaw, PA-C
• Sagy Grinberg, M.D.
• Joel R Grodman, R.PH.
• Shaina Jill Groisberg, M.D.
• Evan Skyler Grossi, MD
• Melissa Grudic, DNP, PMHNP-BC
• Alexander Gruenstein, DDS
• Natalia Grullon, DNP, AGACNP-BC
• Anthony Edward Grygotis, M.D.
• Guardian Group Support LLC

• Social Worker in Newark, NJ
• Providers in Newark, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.