Individual provider Active NPI

Greiny Rodriguez, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1376256792
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118465 Issued in NY
Practice address
302 5TH Ave FL 8
New York, NY 10001-3604
Phone
(929) 306-6928
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 118465 NY Primary

Addresses

Primary practice location

302 5TH Ave FL 8
New York, NY 10001-3604

Mailing address

PO Box 220062
Brooklyn, NY 11222-0062
Phone (646) 764-3732

Other practice location 1

901 Fox St Apt 2D
Bronx, NY 10459-4406
Phone (646) 764-3732

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com

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
118465NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Therapy Mental Health Counseling PC PastSince Mar 19, 2023 Accepting new patients
Tangled Wellness LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1376256792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220062",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112220062",
            "telephone_number": "646-764-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 5TH AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013604",
            "telephone_number": "929-306-6928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Fox St Apt 2D",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104594406",
            "country_code": "US",
            "telephone_number": "646-764-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GREINY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "302 5th Ave Fl 8",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.