Alexa Rae Grossman, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011499A Issued in IN

Practice address

13578 E 131St St Ste 260
Fishers, IN 46037-6401

Phone

(317) 620-1102

NPI assigned

Dec 4, 2023

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1033985874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13578 E 131ST ST STE 260",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376401",
            "telephone_number": "317-620-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13578 E 131ST ST STE 260",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376401",
            "telephone_number": "317-620-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "ALEXA",
        "middle_name": "RAE",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87900078A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33011227A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011499A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Frazer Grimes, MA, CCC-SLP
• Haley Nicole Grooms, LMSW
• Ashtyn Gross
• Christopher Justin Gross
• Karyn E Gross
• Hayley Marie Grove, OTD, OTR/L
• Growth Mindset, LLC
• Guardian Health
• Melissa Gudal
• Isabella Valentina Guerra Garcia

• Clinical Social Worker in Fishers, IN
• Providers in Fishers, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.