Individual provider Active NPI

Erika Grevelding, LCSW

  • School Social Worker
  • Ballston Spa, NY
National Provider Identifier
1912024571
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
075381 Issued in NY
Practice address
200 Wood Rd
Ballston Spa, NY 12020-2245
Phone
(518) 884-7210
Fax
(518) 884-7219
NPI assigned
Mar 26, 2007
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 075381 NY Primary

Addresses

Primary practice location

200 Wood Rd
Ballston Spa, NY 12020-2245

Mailing address

105 Kayaderosseras Dr
Ballston Spa, NY 12020-2529
Phone (518) 885-5875

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
075381NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1912024571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KAYADEROSSERAS DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202529",
            "telephone_number": "518-885-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOOD RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202245",
            "telephone_number": "518-884-7210",
            "fax_number": "518-884-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVELDING",
        "first_name": "ERIKA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "075381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.