Grisselle Vega Eustache, LCSW
Social Worker, Clinical in Elmont, NY. Individual provider (NPI-1).
NPI number1821361676
StatusActive
Last updated in NPPESFeb 24, 2014
Details
- NPI
- 1821361676
- Entity type
- Individual (NPI-1)
- Name
- Grisselle Vega Eustache
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2012
- Last updated
- Feb 24, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 079881 | NY | Yes |
| 104100000X | Social Worker | 075838-1 | NY |
Practice location
21 Norfeld BlvdElmont, NY 11003-3616
Phone 516-437-5902
Mailing address
21 Norfeld BlvdElmont, NY 11003-3616
Phone 516-437-5902
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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