Active NPI
Erin Danielle Gresham
- Social Worker
- Minneapolis, MN
National Provider Identifier
1316680267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26962
- Practice address
- 3381 Gorham Ave
Minneapolis, MN 55426-4240 - Phone
- (952) 200-3695
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26962 | MN | Primary |
Addresses
Primary practice location
3381 Gorham Ave
Minneapolis, MN 55426-4240
Mailing address
3381 Gorham Ave
Minneapolis, MN 55426-4240
Phone (952) 200-3695
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26962 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1316680267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3381 GORHAM AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554264240",
"telephone_number": "952-200-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3381 GORHAM AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554264240",
"telephone_number": "952-200-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRESHAM",
"first_name": "ERIN",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "26962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.