Robert Grella, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I 05661 Issued in NM

Practice address

5312 Jaguar Dr
Santa Fe, NM 87507-1827

Phone

(505) 820-0262

Fax

(505) 820-9220

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Western Mass Physician Associates Inc

  • Internal Medicine Physician
  • Westfield, MA
  • NPI 1366087363
  NPD (past)
• Western Mass Physician Associates Inc

  • Obstetrics & Gynecology Physician
  • Chicopee, MA
  • NPI 1922009547
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386735165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 JAGUAR DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071827",
            "telephone_number": "505-820-0262",
            "fax_number": "505-820-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 JAGUAR DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071827",
            "telephone_number": "505-820-0262",
            "fax_number": "505-820-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLA",
        "first_name": "ROBERT",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I 05661",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97720321",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Rushton Greer, M.D.
• Pamela Jean Gregg Flax, D.O.M.
• David Freeman Gregory, M.D.
• Michael E Gregory, MD
• Richard J Gregory, DC
• Daniel Grenchik, BMS
• Gretchen Wachs LPCC
• Blair Sylvan Grey, DOM
• Debra Grey, NM LMT#8184
• Megan Grey

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.