Individual provider Active NPI

Malaysia Helene Gresham, LICSW

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1942271747
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
G10359 Issued in MD
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

Updated by the provider on Jul 13, 2026

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 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

LicenseStateTypeSpecialty
G10359MDMDClinical 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.

Verify at the official NPI Registry.