Individual provider Active NPI

Carol Elizabeth Griesmann, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1790847259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R038510 Issued in NY
Practice address
Elm and Carlton St
Roswell Park Cancer Institute
Buffalo, NY 14216
Phone
(716) 845-3247
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

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 R038510 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Roswell Park Cancer Institute
Buffalo, NY 14216

Mailing address

6 Tillinghast PL
Buffalo, NY 14216-3409
Phone (716) 845-8022

Other identifiers 1

IdentifierTypeStateIssuer
R038510OtherNYLICENSE

Other names 1

  • Mrs. Carol Elizabeth Elvers Other name

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

LicenseStateTypeSpecialty
R038510NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790847259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TILLINGHAST PL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163409",
            "telephone_number": "716-845-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "address_2": "ROSWELL PARK CANCER INSTITUTE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-845-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESMANN",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R038510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ELVERS",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.