KAELEY GRIDLEY LMSW
NPI 1821750415
Social Worker in Syracuse, NY

Q: What is Kaeley Gridley's NPI number?

The NPI number for Kaeley Gridley is 1821750415. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Q: What is Kaeley Gridley's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kaeley Gridley was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2021PECOS Enrolled

1045 JAMES ST STE 100, SYRACUSE, NY 13203(315) 425-1004 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Oct 11, 2021 (2 updates tracked since 2021).

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About Kaeley Gridley Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAELEY GRIDLEY LMSW (NPI 1821750415) is an individual social worker in Syracuse, New York, licensed in New York (111192) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821750415

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKAELEY GRIDLEYCredential: LMSW

Location Address1045 JAMES ST STE 100Syracuse, NY 13203-2758

Mailing Address1045 James St Ste 100Syracuse, NY 13203-2758

Phone(315) 425-1004

Sole ProprietorNo

Enumeration DateOctober 11, 2021

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1821750415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 111192

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaeley Gridley Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HEIDI M ZIERVOGEL LMSW

Social Worker