Active NPI
Sharon M. Grosch, LCSW
- Clinical Social Worker
- Lebanon, TN
National Provider Identifier
1255364691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW4560
- Practice address
- 320 West Main St
Suite B
Lebanon, TN 37087 - Phone
- (615) 444-7885
- Fax
- (615) 444-7811
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW4560 | TN | Primary |
Addresses
Primary practice location
320 West Main St
Suite B
Lebanon, TN 37087
Mailing address
112 Countrywood Dr
Lebanon, TN 37087-8934
Phone (615) 444-7885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4124930 | Other | TN | BLUE CROSS BLUE SHIELD |
| 0007312821 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000359 | TN | Practitioner - Clinical Social Worker | 2163447616 | Practice locations: Lebanon, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Winwood Dr
Suite 205
Lebanon, TN 37087-1399
Phone (615) 547-9049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW4560 | TN | MD | Clinical Social Worker |
| 4560 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradshaw Medical Clinic, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAGIAD
Organizations & group practices 1
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.
-
- Clinic/Center
- Lebanon, TN
- NPI 1255406450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1255364691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 COUNTRYWOOD DR",
"city": "LEBANON",
"state": "TN",
"postal_code": "370878934",
"telephone_number": "615-444-7885",
"fax_number": "615-444-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WEST MAIN ST",
"address_2": "SUITE B",
"city": "LEBANON",
"state": "TN",
"postal_code": "37087",
"telephone_number": "615-444-7885",
"fax_number": "615-444-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSCH",
"first_name": "SHARON",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW4560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4124930",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007312821",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.