Mallory Elizabeth Grivner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021276 Issued in PA

Practice address

1755 Hallman Dr
Blue Bell, PA 19422-3576

Phone

(610) 864-5476

NPI assigned

Aug 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling and Wellness LLCGroup PAC ID 3577977362, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Counseling and Wellness LLC

  • In Home Supportive Care Agency
  • King of Prussia, PA
  • NPI 1184214751

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1013527357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALNUT ST",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HALLMAN DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223576",
            "telephone_number": "610-864-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIVNER",
        "first_name": "MALLORY",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgrivner@brynmawr.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1755 Hallman Dr",
            "city": "Blue Bell",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194223576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillary Gray
• Daniel Greenberg, DPT
• Nicholas Allen Gregory, MD
• Stephanie Griffin
• Griswold International Care of Poconos PA, LLC (Griswold Home Care)
• Deepak Parkash Grover, D.O.
• Growth Counseling, LLC
• Yan Gu, M.D.
• Vidhu B Gupta, MA
• Eugene Gregory Haas, D.O.

• Clinical Social Worker in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.

Verify at the official NPI Registry.