Mary E Groff, MSW LCSW ACSW PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

212PIP0026C Issued in AL

Practice address

414 Old Town St
Mountain Crest Counseling
Guntersville, AL 35976

Phone

(256) 582-0300

Fax

(256) 582-0335

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285668038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 OLD TOWN ST",
            "address_2": "MOUNTAIN CREST COUNSELING",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-0300",
            "fax_number": "256-582-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OLD TOWN ST",
            "address_2": "MOUNTAIN CREST COUNSELING",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-0300",
            "fax_number": "256-582-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW ACSW PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "212PIP0026C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6291841",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "51090464",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Michelle Green, REGISTERED NURSE RN
• Tiffany Renae Green, M.S.
• Griffith Discount Drugs, Inc.
• John Grimes, CRNP
• Dustin John Grimmett, D.P.M.
• Kelli Guffey, MS
• Lupia A Guion, MS, ALC
• Marcia Elena Gullatte, MSW
• Angela Gunnells
• Guntersville City

• Clinical Social Worker in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.