Griselda Pattillo, LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRISELDA PATTILLO, LCSW PLLC

Practice address

1006 S Rock St
Georgetown, TX 78626-5837

Phone

(512) 200-7291

NPI assigned

Jun 4, 2022

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Griselda Onofre Pattillo, LCSWNPI 1396213997

Title

Therapist

Phone

(832) 621-6570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Griselda Onofre Pattillo, LCSW

  • Clinical Social Worker
  • Georgetown, TX
  • NPI 1396213997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1821737032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 4000",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "512-200-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S ROCK ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265837",
            "telephone_number": "512-200-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISELDA PATTILLO, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "PATTILLO",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_middle_name": "ONOFRE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "832-621-6570",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Troyce Gregory, PT, DPT
• Laura M Grest, PT, DPT
• Rhonda M Griffin, LPC
• Scott Karr Griggs, PHARMD, PHD, RPH
• Shawn Taylor Grimsley, PA-C
• Emily Wilburn Grooms, M.A., CCC-SLP
• Guadalupe County Hospital Board (The Wesleyan at Scenic)
• Guadalupe County Hospital Board (Park Place Care Center)
• Carly Gubin
• Austin Michael Guidry

• Clinical Social Worker in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.