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
- Last updated
- Jun 8, 2026
- 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
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 |
| 115862 | TX | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Lubbock, TX
- NPI 1992676266
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.