Jon Birdell Grossman, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW0754 Issued in AZ

Practice address

1300 N 12TH St Ste 550
Phoenix, AZ 85006-2820

Phone

(602) 410-6637

Fax

(480) 609-9552

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grossman & Grossman LTD

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1184921413
  NPD (past) Authorized official
• Grossman & Grossman, LTD.

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1245719236
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1164575486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 E CHARTER OAK RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544348",
            "telephone_number": "602-410-6637",
            "fax_number": "480-609-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062820",
            "telephone_number": "602-410-6637",
            "fax_number": "480-609-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JON",
        "middle_name": "BIRDELL",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT0182",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW0754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS PROVIDER ID",
            "identifier": "964579",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grossman & Grossman LTD
• Grossman & Grossman, LTD.
• Bonnie D Grossman, MS, LPC
• Davin Grossman, MS
• Howard Alan Grossman, M.D.
• Phyllis Ann Grossman, M.C.
• Dominick Anthony Grosso, PHARMD
• Peter Edward Grosso, D.C.
• Jennifer Grosstick, AUD
• Dave Gerald Grosz, CRNA

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.