Active NPI
Erika Mann, LCSW
- Clinical Social Worker
- Portales, NM
National Provider Identifier
1972149094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10904
- Practice address
- 101 W 4TH St
Portales, NM 88130-6306 - Phone
- (575) 519-0777
- NPI assigned
- Nov 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-10904 | NM | Primary |
| Clinical Social Worker | 1041C0700X | 115862 | TX |
Addresses
Primary practice location
101 W 4TH St
Portales, NM 88130-6306
Mailing address
3310 County Road 7540
Lubbock, TX 79423-6397
Phone (575) 519-0777
Other practice location 1
4031 112th St
Lubbock, TX 79423-6749
Phone (575) 519-0777
Other names 1
- Erika Grussendorf
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Portales | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260313003441 | TX | Practitioner - Clinical Social Worker | 0244713584 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3310 County Rd
Suite 7540
Lubbock, TX 79423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-10904 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Living Mind & Body, LLC | Clinical | Current | Accepting new patients |
Locations
8008 Slide Rd
Ste 24
Lubbock, TX 79424
Phone (806) 340-0446
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1972149094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 COUNTY ROAD 7540",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794236397",
"telephone_number": "575-519-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 4TH ST",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306306",
"telephone_number": "575-519-0777"
}
],
"practiceLocations": [
{
"address_1": "4031 112th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794236749",
"country_code": "US",
"telephone_number": "575-519-0777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "ERIKA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-24",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10904",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "115862",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Portales",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "101 W 4th St",
"city": "Portales",
"state": "NM",
"country_code": "US",
"postal_code": "881306306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERIKA",
"last_name": "GRUSSENDORF",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.