Individual provider Active NPI

Marshall Grogg, LGSW

  • Social Worker
  • Elkins, WV
National Provider Identifier
1255299897
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00947423 Issued in WV
Practice address
971 Harrison Ave
Elkins, WV 26241-3608
Phone
(304) 636-9450
Fax
(304) 636-2282
NPI assigned
Jan 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00947423 WV Primary

Addresses

Primary practice location

971 Harrison Ave
Elkins, WV 26241-3608

Mailing address

971 Harrison Ave
Elkins, WV 26241-3608
Phone (304) 636-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BP00947423WVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1255299897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413608",
            "telephone_number": "304-636-9450",
            "fax_number": "304-636-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413608",
            "telephone_number": "304-636-9450",
            "fax_number": "304-636-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGG",
        "first_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00947423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.