Individual provider Active NPI

Dana Groh, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1073591749
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55106 Issued in TX
Practice address
325 E Sonterra Blvd
Suite 230
San Antonio, TX 78258-4054
Phone
(210) 439-8887
Fax
(210) 545-6869
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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 55106 TX Primary

Addresses

Primary practice location

325 E Sonterra Blvd
Suite 230
San Antonio, TX 78258-4054

Mailing address

8823 Imperial Cross
Helotes, TX 78023-3658
Phone (513) 280-1954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20131216001260 TX Practitioner - Clinical Social Worker 6002700986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

325 E Sonterra Blvd
Suite 230
San Antonio, TX 78258-4056
Phone (210) 439-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55106TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Groh Counseling PLLC Clinical CurrentSince Feb 2, 2015 Accepting new patients
Family Service of the Cincinnati Area PastSince Nov 29, 2006 Accepting new patients

Locations

325 E Sonterra Blvd
Ste 230
San Antonio, TX 78258
Phone (210) 439-8887

Organizations & group practices 2

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1073591749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 IMPERIAL CROSS",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233658",
            "telephone_number": "513-280-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-439-8887",
            "fax_number": "210-545-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROH",
        "first_name": "DANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.