Individual provider Active NPI

Lucy A Grosvenor, LICSW

  • Clinical Social Worker
  • North Chelmsford, MA
National Provider Identifier
1083697049
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103090 Issued in MA
Practice address
73 Princeton St
Suite203
North Chelmsford, MA 01863-1558
Phone
(978) 256-6579
Fax
(978) 256-1943
NPI assigned
Nov 23, 2005
Last updated
May 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 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 103090 MA Primary

Addresses

Primary practice location

73 Princeton St
Suite203
North Chelmsford, MA 01863-1558

Mailing address

73 Princeton St
Suite203
North Chelmsford, MA 01863-1558
Phone (978) 256-6579

Other identifiers 12

IdentifierTypeStateIssuer
1409328Y0MA01OtherNHBCBSNH
162104000OtherMAMAGELLAN
103090OtherMATUFTS
043476807-02OtherMAPACIFICARE
103090OtherMASECURE HORIZON
009143OtherMAVALUE OPTIONS
800009597OtherMARAILROAD MEDICARE
0022320OtherMANHP
1858335MedicaidMA
333110OtherMAMHN
P02227OtherMABCBSMA
971702OtherMANETWORK HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • 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
I20050923000640 MA Practitioner - Clinical Social Worker 4789618281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103090MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lowell Psychiatric Associates, LLC Clinical CurrentSince Jul 1, 1990 Accepting new patients

Locations

73 Princeton St
Ste 203
North Chelmsford, MA 01863
Phone (978) 256-6579

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1083697049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "SUITE203",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-256-6579",
            "fax_number": "978-256-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST",
            "address_2": "SUITE203",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-256-6579",
            "fax_number": "978-256-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSVENOR",
        "first_name": "LUCY",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNH",
            "identifier": "1409328Y0MA01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "162104000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "103090",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "043476807-02",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZON",
            "identifier": "103090",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "009143",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "800009597",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0022320",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1858335",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "333110",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "P02227",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "971702",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.