Mallory Nicole Grobe, LMSW-CC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC18174 Issued in ME

Practice address

314 Alfred St
Biddeford, ME 04005-3102

Phone

(802) 281-2018

NPI assigned

Jan 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1073153672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053102",
            "telephone_number": "802-281-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053102",
            "telephone_number": "802-281-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBE",
        "first_name": "MALLORY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC18174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Joanne Gray, LADC
• Joseph Michael Graziadei, PH.D.
• Frank T Green, DO
• John P Griffin, M.D.
• Margaret Shannon Griffin, PA-C
• Mark M Grohman, D.O.
• Nina Elizabeth Gross
• David Grubb, MD
• Teague Grubel, OTR/L
• Joshua James Grzyb

• Mental Health Counselor in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.