Individual provider Active NPI

Cynthia Grace Gronemeyer, LCSW

  • Clinical Social Worker
  • Michigan City, IN
National Provider Identifier
1336659366
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008774A Issued in IN
Practice address
619 Franklin St # 2B
Michigan City, IN 46360-3411
Phone
(219) 533-0282
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.021880ILMDClinical Social Worker
34008774AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Beginnings Counseling, LLC Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.021880 IL
Clinical Social Worker 1041C0700X 34008774A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

619 Franklin St # 2B
Michigan City, IN 46360-3411

Mailing address

619 Franklin St Ste 2B
Michigan City, IN 46360-3411
Phone (219) 533-0282

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2020.

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1336659366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 FRANKLIN ST STE 2B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603411",
            "telephone_number": "219-533-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 FRANKLIN ST # 2B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603411",
            "telephone_number": "219-533-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEMEYER",
        "first_name": "CYNTHIA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008774A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.