Active NPI
Christian Dawn Griego
- Social Worker
- Mansfield, TX
National Provider Identifier
1659080992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108537
- Practice address
- 511 Waterlane Dr
Mansfield, TX 76063-9129 - Phone
- (432) 638-3197
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 108537 | TX | Primary |
Addresses
Primary practice location
511 Waterlane Dr
Mansfield, TX 76063-9129
Mailing address
511 Waterlane Dr
Mansfield, TX 76063-9129
Phone (432) 638-3197
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christan@tc24.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | christan@tc24.com | Direct |
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 |
|---|---|---|---|
| 108537 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1659080992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 WATERLANE DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639129",
"telephone_number": "432-638-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 WATERLANE DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639129",
"telephone_number": "432-638-3197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIEGO",
"first_name": "CHRISTIAN",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "108537",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christan@tc24.com",
"affiliation": "N",
"endpointDescription": "messaging",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "511 Waterlane Dr",
"city": "Mansfield",
"state": "TX",
"country_code": "US",
"postal_code": "760639129",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christan@tc24.com",
"affiliation": "N",
"endpointDescription": "messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "511 Waterlane Dr",
"city": "Mansfield",
"state": "TX",
"country_code": "US",
"postal_code": "760639129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.