Grussendorf, Erika

Grussendorf, Erika is an sole proprietor health care provider with primary practice located at 101 W 4Th St , Portales NM 88130-6306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grussendorf, Erika can be contacted via phone (575) 519-0777.

Contact Information

Primary practice address
101 W 4Th St Portales NM 88130-6306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-10904 New Mexico

Profile Details

NPI number 1972149094
LBN Legal business name Grussendorf, Erika
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2019
Last updated Nov 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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