Organization Active NPI

Ground Level Licensed Clinical Social Work PLLC

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1689557324
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROUND LEVEL LICENSED CLINICAL SOCIAL WORK PLLC
Practice address
4 Automation LN Ste 150
Albany, NY 12205-1665
Phone
(860) 770-9178
NPI assigned
Jul 29, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Nana Roest-Gyimah, LCSWNPI 1427621952
Title
Owner
Phone
(860) 770-9178

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

4 Automation LN Ste 150
Albany, NY 12205-1665

Mailing address

146 Kent St
Albany, NY 12206-2107
Phone (860) 770-9178

National Provider Directory

National Provider Directory

Locations

4 Automation Ln
Ste 150
Albany, NY 12205
Phone (646) 535-7273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1689557324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 KENT ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062107",
            "telephone_number": "860-770-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AUTOMATION LN STE 150",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051665",
            "telephone_number": "860-770-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUND LEVEL LICENSED CLINICAL SOCIAL WORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "ROEST-GYIMAH",
        "authorized_official_first_name": "NANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-770-9178",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.