Active NPI
Marissa Ann Grosso, MSW, LSW
- Social Worker
- Highland Park, NJ
National Provider Identifier
1114588035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06484000
- Practice address
- 1164 Raritan Ave
Highland Park, NJ 08904-3653 - Phone
- (732) 284-3845
- NPI assigned
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06484000 | NJ | Primary |
Addresses
Primary practice location
1164 Raritan Ave
Highland Park, NJ 08904-3653
Mailing address
45 Ardmore LN
Aberdeen, NJ 07747-1211
Phone (732) 895-0801
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06484000 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1114588035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 ARDMORE LN",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077471211",
"telephone_number": "732-895-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 RARITAN AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089043653",
"telephone_number": "732-284-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSO",
"first_name": "MARISSA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06484000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.