Pamela Grzech, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801059704 Issued in MI

Practice address

3967 Sherwood Forest Dr
Traverse City, MI 49686-6317

Phone

(231) 338-6173

Fax

(866) 833-4089

NPI assigned

Apr 23, 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 MI

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

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MI

  Medicare reassignment NPD
• Pamela Devries Grzech LMSW LLC

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1124860135
  NPD Authorized official

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1144840752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "ACME",
            "state": "MI",
            "postal_code": "496100121",
            "telephone_number": "734-358-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 SHERWOOD FOREST DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496866317",
            "telephone_number": "231-338-6173",
            "fax_number": "866-833-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZECH",
        "first_name": "PAMELA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele G Gronberg
• Bailey S Groseclose II, M.D.
• Carol Elaine Grosmark, LMSW, CAAC
• Amanda Lynn Gross, MSBS, PA-C
• Derek I Grossman, DO
• GTC Opco, LLC
• GTP Institutional Phcy
• Guiding Lantern Counseling LLC
• Rosemary Irene Guimond, CHW
• Jill M Gulau

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.