Active NPI
Eileen Grove, LCSW, LLC
- Clinical Social Worker
- Davie, FL
National Provider Identifier
1073236048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EILEEN GROVE, LCSW, LLC
- Practice address
- 7450 Griffin Rd Ste 140
Davie, FL 33314-4104 - Phone
- (954) 501-0363
- NPI assigned
- Sep 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eileen N Grove, LCSW
- Title
- Owner
- Phone
- (954) 501-0363
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7450 Griffin Rd Ste 140
Davie, FL 33314-4104
Mailing address
1856 N Nob Hill Rd # 266
Plantation, FL 33322-6548
Phone (954) 501-0363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7450 Griffin Rd
Ste 140
Davie, FL 33314
Phone (954) 501-0363
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hollywood, FL
- NPI 1306481213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663891200000",
"number": "1073236048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1856 N NOB HILL RD # 266",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333226548",
"telephone_number": "954-501-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 GRIFFIN RD STE 140",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144104",
"telephone_number": "954-501-0363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EILEEN GROVE, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A",
"authorized_official_last_name": "GROVE",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-501-0363",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.