Individual provider Active NPI

Eileen Nancy Grove, LCSW

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1306481213
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16815 Issued in FL
Practice address
6848 Stirling Rd
Hollywood, FL 33024-1842
Phone
(954) 362-0104
Fax
(954) 364-4595
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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 SW16815 FL Primary

Addresses

Primary practice location

6848 Stirling Rd
Hollywood, FL 33024-1842

Mailing address

6848 Stirling Rd
Hollywood, FL 33024-1842
Phone (954) 362-0104

Other identifiers 1

IdentifierTypeStateIssuer
SW16815OtherFLDEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200813001724 FL Practitioner - Clinical Social Worker 0345666970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7450 Griffin Rd
Suite 140
Davie, FL 33314-4104
Phone (954) 501-0363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16815FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Psychotherapy Associates LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients
Irecovery, LLC Clinical CurrentSince Aug 25, 2020 Accepting new patients
Irecovery, LLC Clinical Current Accepting new patients
Reflections Wellness Center LLC CurrentSince Nov 17, 2019 Accepting new patients
Eileen Grove, LCSW, LLC Clinical CurrentSince Mar 4, 2023 Accepting new patients
Seasons Psychotherapy Associates LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients
Medication Assisted Recovery Institute, LLC Clinical CurrentSince Aug 1, 2020 Accepting new patients
Reflections Wellness Center of Broward PastSince Nov 17, 2019 Accepting new patients

Locations

2900 N Military Trl
Ste 241
Boca Raton, FL 33431
Phone (561) 464-4949

5030 Champion Blvd
Ste G11535
Boca Raton, FL 33496

5030 Champion Blvd
Ste G11
Boca Raton, FL 33496

7450 Griffin Rd
Ste 140
Davie, FL 33314
Phone (954) 501-0363

12505 Orange Dr
Ste 901
Davie, FL 33330
Phone (954) 342-0982

130 S Indian River Dr
Ste 2026405
Fort Pierce, FL 34950
Phone (772) 773-6989

2601 E Oakland Park Blvd
Ste 205
Ft Lauderdale, FL 33306
Phone (954) 342-0982

6848 Stirling Rd
Hollywood, FL 33024
Phone (954) 362-0104

1856 N Nob Hill Rd
Plantation, FL 33322
Phone (954) 536-8905

Organizations & group practices 8

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1306481213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241842",
            "telephone_number": "954-362-0104",
            "fax_number": "954-364-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241842",
            "telephone_number": "954-362-0104",
            "fax_number": "954-364-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "EILEEN",
        "middle_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "SW16815",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.