Individual provider Active NPI

Sharon M. Grosch, LCSW

  • Clinical Social Worker
  • Lebanon, TN
National Provider Identifier
1255364691
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW4560 Issued in TN
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

Updated by the provider on Sep 4, 2008

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 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

IdentifierTypeStateIssuer
4124930OtherTNBLUE CROSS BLUE SHIELD
0007312821OtherAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LSW4560TNMDClinical Social Worker
4560TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bradshaw Medical Clinic, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.