Lisa Grossenbacher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4276 Issued in OK

Practice address

1603 E 19TH St Ste 105
Edmond, OK 73013-6563

Phone

(405) 568-1950

NPI assigned

Feb 24, 2009

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Puzzle Peace Counseling, Inc

  • Clinical Social Worker
  • Edmond, OK
  • NPI 1851813257
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1013157510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E 19TH ST STE 105",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136563",
            "telephone_number": "405-568-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E 19TH ST STE 105",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136563",
            "telephone_number": "405-568-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4436 NW 50th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122212",
            "country_code": "US",
            "telephone_number": "405-858-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 E 15th St Ste 800B",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730136682",
            "country_code": "US",
            "telephone_number": "405-455-6868 x4",
            "fax_number": "405-562-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSENBACHER",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200362310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B Grindstaff, OD
• Willie Grissom
• Sarah Gritts
• Jared Grob, MA
• Lillianne Grob
• Roger Grosz, B.S.
• Sheila J Groves, MS, RD/LD
• Lauren Grubb, CCC-SLP
• Joel S. Grubbs, DO
• Kim Grubbs, MS, CCC

• Clinical Social Worker in Edmond, OK
• Providers in Edmond, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.