Individual provider Active NPI

Gregg A Nuessle, LCSWR

  • Clinical Social Worker
  • Warsaw, NY
National Provider Identifier
1699837450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043594 Issued in NY
Practice address
39 Duncan St
Warsaw, NY 14569-1017
Phone
(585) 786-0190
Fax
(585) 786-0196
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R043594 NY Primary

Addresses

Primary practice location

39 Duncan St
Warsaw, NY 14569-1017

Mailing address

3952 Sheldon Rd
Orchard Park, NY 14127-2107

Other identifiers 1

IdentifierTypeStateIssuer
000590318001OtherNYBCBS WNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040517001411 NY Practitioner - Clinical Social Worker 2668462995 Reassigns benefits to 1 organization
Practice locations: Orchard Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043594NYMDClinical Social Worker
043594NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Sep 2, 2017 Accepting new patients
Horizon Health Services Inc PastSince Sep 1, 2019 Accepting new patients
Katherine Durrant LCSW PLLC Clinical Past Accepting new patients

Locations

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

Organizations & group practices 3

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699837450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 SHELDON RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DUNCAN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691017",
            "telephone_number": "585-786-0190",
            "fax_number": "585-786-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUESSLE",
        "first_name": "GREGG",
        "middle_name": "A",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WNY",
            "identifier": "000590318001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NY

Sources for this page

Verify at the official NPI Registry.