Mark Randall Grover, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6965 E Hacienda la Noria LN
Gold Canyon, AZ 85118-1834

Phone

(602) 418-4434

NPI assigned

Dec 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Randy Grover Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1033448352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 E HACIENDA LA NORIA LN",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851181834",
            "telephone_number": "602-418-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 E HACIENDA LA NORIA LN",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851181834",
            "telephone_number": "602-418-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "MARK",
        "middle_name": "RANDALL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "GROVER",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna Marie Gordy, FNP-C
• James Sean Gorman, MD
• Stephen J. Graham, M.D.
• Michael Stephen Grams, DDS
• Gregg D. Davis D.C.,P.C.
• Tyler Gruwell
• Colene Guzman, AGACNP
• Rebecca J Haaland, RESP THERAPIST
• Grace Marie Hanna, DPT
• Timothy Edward Hay, RPH

• All providers in Gold Canyon, AZ
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.