NPIMap

Individual provider Active NPI

Christina Ann Greconia, LCSW

  • Clinical Social Worker
  • Springfield, LA
National Provider Identifier
1942707708
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
27124 Highway 42
Springfield, LA 70462
Phone
(225) 683-5292
Fax
(225) 683-1310
NPI assigned
Apr 9, 2018
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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 NU Primary

Addresses

Primary practice location

27124 Highway 42
Springfield, LA 70462

Mailing address

1945 Carolyn Sue Dr
Baton Rouge, LA 70815-5509
Phone (225) 928-9398

Other practice location 1

8001 Jefferson Hwy Apt 16
Baton Rouge, LA 70809-1646
Phone (504) 390-2664

Other identifiers 1

IdentifierTypeStateIssuer
2485458MedicaidLA

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1942707708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CAROLYN SUE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708155509",
            "telephone_number": "225-928-9398",
            "fax_number": "225-928-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27124 HIGHWAY 42",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "70462",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Jefferson Hwy Apt 16",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708091646",
            "country_code": "US",
            "telephone_number": "504-390-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRECONIA",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2485458",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.