Organization Active NPI

Grief Relief LLC

  • Clinical Social Worker
  • Wormleysburg, PA
National Provider Identifier
1356992507
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRIEF RELIEF LLC
Practice address
1023 Mumma Rd Ste 200
Wormleysburg, PA 17043-1164
Phone
(717) 522-6111
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Lisa S Zoll, LCSWNPI 1720010440
Title
Owner
Phone
(717) 522-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1023 Mumma Rd Ste 200
Wormleysburg, PA 17043-1164

Mailing address

1023 Mumma Rd Ste 200
Wormleysburg, PA 17043-1164
Phone (717) 522-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103001040 PA Part B Supplier - Clinic/Group Practice 0042644841 Receives reassigned benefits from 2 practitioners
Practice locations: Wormleysburg, PA

National Provider Directory

National Provider Directory

Locations

1023 Mumma Rd
Ste 200
Wormleysburg, PA 17043
Phone (717) 522-6111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1356992507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MUMMA RD STE 200",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431164",
            "telephone_number": "717-522-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MUMMA RD STE 200",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431164",
            "telephone_number": "717-522-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIEF RELIEF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "ZOLL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-522-1116",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.