Individual provider Active NPI

Linda M Grella-Goff, LCSW

  • Clinical Social Worker
  • Clinton Corners, NY
National Provider Identifier
1376720896
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R038648 Issued in NY
Practice address
81 Spruce LN
Clinton Corners, NY 12514-2623
Phone
(845) 266-4773
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R038648 NY Primary

Addresses

Primary practice location

81 Spruce LN
Clinton Corners, NY 12514-2623

Mailing address

81 Spruce LN
Clinton Corners, NY 12514-2623
Phone (845) 266-4773

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R038648NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc, Inc. Dutchess County Chapter Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1376720896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SPRUCE LN",
            "city": "CLINTON CORNERS",
            "state": "NY",
            "postal_code": "125142623",
            "telephone_number": "845-266-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SPRUCE LN",
            "city": "CLINTON CORNERS",
            "state": "NY",
            "postal_code": "125142623",
            "telephone_number": "845-266-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLA-GOFF",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Corners, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.