Active NPI
Jennifer Grosser
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1326319047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- POO4982
- Practice address
- 5509 Creedmoor Rd
Raleigh, NC 27612-6312 - Phone
- (919) 573-6520
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- No
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 | POO4982 | NC | Primary |
Addresses
Primary practice location
5509 Creedmoor Rd
Raleigh, NC 27612-6312
Mailing address
5509 Creedmoor Rd
Raleigh, NC 27612-6312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POO4982 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1326319047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 CREEDMOOR RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276126312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 CREEDMOOR RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276126312",
"telephone_number": "919-573-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-26",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "POO4982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.