Douglas V. Grote, LICSW CADAC-II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1030868 Issued in MA

Practice address

15 Franklin St
Greenfield, MA 01301-2912

Phone

(413) 774-2704

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1205840246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LINCOLN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012016",
            "telephone_number": "413-773-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FRANKLIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012912",
            "telephone_number": "413-774-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTE",
        "first_name": "DOUGLAS",
        "middle_name": "V.",
        "credential": "LICSW CADAC-II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "0893AL",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857380",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Greenquist
• James John Greer Jr., BA, MS, CADC, LADC1
• Mary Katelyn Griggs, MSCP
• Gordon David Gross, MSW
• Steven N Gross
• Vivien Gude
• Ashely Dalessandra Guerra Mejia
• Lindsay B Guido, BA
• Raymond Brenton Guillette, LICSW
• Peter Charles Guiod, MS, CCC-SLP

• Clinical Social Worker in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.