Individual provider Active NPI

Molly E Grosse

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1194156760
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7580-123 Issued in WI
Practice address
5007 S Howell Ave Ste 350
Milwaukee, WI 53207-6159
Phone
(262) 789-1191
NPI assigned
Dec 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7580-123 WI Primary

Addresses

Primary practice location

5007 S Howell Ave Ste 350
Milwaukee, WI 53207-6159

Mailing address

5007 S Howell Ave Ste 350
Milwaukee, WI 53207-6159

Other names 1

  • Molly E Grosse Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20140102000672 WI Practitioner - Clinical Social Worker 6709014442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling Services Inc 338 clinicians

Practice addresses (Care Compare)

5007 S Howell Ave
Suite 300
Milwaukee, WI 53207-6158
Phone (414) 962-4048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7580-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve365 Therapy LLC Current Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Jun 3, 2024 Accepting new patients
Ascension All Saints Hospital, Inc CurrentSince Jan 13, 2014 Accepting new patients
Ascension All Saints Hospital, Inc CurrentSince Jan 13, 2014 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince May 1, 2016 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Fl 3
Glendale, WI 53212
Phone (414) 465-3091

5007 S Howell Ave
Ste 300
Milwaukee, WI 53207
Phone (414) 962-4048

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

1320 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2222

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1194156760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 S HOWELL AVE STE 350",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532076159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 S HOWELL AVE STE 350",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532076159",
            "telephone_number": "262-789-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSE",
        "first_name": "MOLLY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7580-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "GROSSE",
            "middle_name": "E",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.