Individual provider Active NPI

Roxanne Lyn Grobbel, J.D., L.C.S.W.

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1053594432
Registry record updated Dec 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8627 Issued in FL
Practice address
17714 Lomond CT
Boca Raton, FL 33496-1032
Phone
(561) 756-3477
Fax
(561) 488-4003
NPI assigned
Dec 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW8627 FL Primary

Addresses

Primary practice location

17714 Lomond CT
Boca Raton, FL 33496-1032

Mailing address

17714 Lomond CT
Boca Raton, FL 33496-1032
Phone (561) 756-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
SW8627FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coast to Coast Emdr, LLC Clinical CurrentSince Dec 22, 2024 Accepting new patients
Michael S. Goldman DO PA Past Accepting new patients
Kids First, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197158400000",
    "number": "1053594432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17714 LOMOND CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961032",
            "telephone_number": "561-756-3477",
            "fax_number": "561-488-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17714 LOMOND CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961032",
            "telephone_number": "561-756-3477",
            "fax_number": "561-488-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBBEL",
        "first_name": "ROXANNE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "J.D., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2007-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2007; 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.