James D Groce, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Livingston, TN
NPI 1154614725 · NPPES record last updated Jun 30, 2014
Key facts
- NPI
- 1154614725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4006 (TN)
- Practice address
- 318 Bilbrey St
Livingston, TN 38570-1706 - Phone
- (303) 278-7418
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4006 | TN | Yes |
Addresses
Primary practice location
318 Bilbrey St
Livingston, TN 38570-1706
Mailing address
4860 Robb St
Suite 201
Wheat Ridge, CO 80033-2184
Phone (303) 278-7418
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4006 | Other | TN | PROFESSIONAL LICENSE |
| 1524750 | Medicaid | TN | |
| 12667727 | Other | TN | CAQH |
Other providers in Livingston, TN
- Skaidrite Gillis
- Carolyn Gleason
- Cecily Goforth
- Misty Goodman
- Kayla Deshea Graves
- Mary Elizabeth Gunnels
- James William Hall Jr.
- Paige Nicole Hammock
- Greg Hargis
- Misty Harrell
All providers in Livingston, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.