Coast to Coast Emdr, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COAST TO COAST EMDR, LLC

Practice address

950 Peninsula Corporate Cir Ste 2015
Boca Raton, FL 33487-1389

Phone

(561) 756-3477

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Roxanne Grobbel, JD, LCSWNPI 1053594432

Title

President

Phone

(561) 756-3477

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Lyn Grobbel, J.D., L.C.S.W.

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1053594432
  NPD Authorized official

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1295543676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17714 LOMOND CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961032",
            "telephone_number": "561-756-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR STE 2015",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871389",
            "telephone_number": "561-756-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST EMDR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "GROBBEL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-756-3477",
        "authorized_official_credential": "JD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Diagnostics, LLC
• Coastal DME
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• Coastal Nutrition

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, 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 Dec 18, 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.