Active NPI
Malaysia Helene Gresham, LICSW
- Clinical Social Worker
- Grand Forks, ND
National Provider Identifier
1942271747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- G10359
- Practice address
- 319TH Medical Group
1599 J Street
Grand Forks, ND 58205 - Phone
- (701) 747-3190
- Fax
- (701) 747-7340
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | G10359 | MD | Primary |
Addresses
Primary practice location
319TH Medical Group
1599 J Street
Grand Forks, ND 58205
Mailing address
2700 S 34TH St
Apt 315
Grand Forks, ND 58201-6045
Phone (701) 747-3190
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
| License | State | Type | Specialty |
|---|---|---|---|
| G10359 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942271747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 S 34TH ST",
"address_2": "APT 315",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016045",
"telephone_number": "701-747-3190",
"fax_number": "701-747-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319TH MEDICAL GROUP",
"address_2": "1599 J STREET",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58205",
"telephone_number": "701-747-3190",
"fax_number": "701-747-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRESHAM",
"first_name": "MALAYSIA",
"middle_name": "HELENE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "G10359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.