Mindy Grossberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21813 Issued in FL

Practice address

1380 NE Miami Gardens Dr
North Miami Beach, FL 33179-4707

Phone

(845) 596-5818

NPI assigned

Mar 11, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1225896780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W 46TH ST APT 104",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402866",
            "telephone_number": "845-596-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "845-596-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSBERG",
        "first_name": "MINDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Houston Anesthesiology
• Yusleidy Caridad Gregorio Venta
• Greynolds Park Manor
• Kylie Gross
• Stuart Irving Gross, MD
• Alan Grossman, PA
• Beatriz Grover
• GST Natural Herbs and Acupuncture Center
• GST Natural Herbs and Acupuncture Center
• Jack Guevara, DO

• Clinical Social Worker in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.