Individual provider Active NPI

Erika Mann, LCSW

  • Clinical Social Worker
  • Portales, NM
National Provider Identifier
1972149094
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10904 Issued in NM
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

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-10904 NM Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
C-10904NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living Mind & Body, LLC Clinical CurrentSince Jan 19, 2026 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

Verify at the official NPI Registry.