Sandra Lynn Groom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1415 Victor Ave
Redding, CA 96003-4879

Phone

(530) 338-6549

Fax

(530) 605-0281

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1184936866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491553",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960491553",
            "telephone_number": "530-338-6549",
            "fax_number": "530-605-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034879",
            "telephone_number": "530-338-6549",
            "fax_number": "530-605-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOM",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIN",
            "identifier": "465543",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellawyn Grey
• Marc Griffey, M.D.
• Hailie Lyn Griffith
• Travis Griffith, AMFT
• Jeffrey Wendell Grolig, MD
• Stephen Paul Grosse, D.C.
• Groups - Recover Together California, Inc., a Professional Medical Cor (Groups Recover Together)
• Groups - Recover Together California, Inc., a Professional Medical Cor (Groups Recover Together)
• Groups- Recover Together California (Groups Recover Together)
• Rhett Don Grover, D.O

• Clinical Social Worker in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.