Active NPI
Daniel Paul Grinberg, LMSW, LCSW
- Social Worker
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801107398
- Practice address
- 6655 E US Highway 36
Avon, IN 46123-8923 - Phone
- (888) 714-1927
- Fax
- (317) 745-9565
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99081384A | IN | |
| Clinical Social Worker | 1041C0700X | 34008658A | IN | |
| Social Worker | 104100000X | 6801107398 | MI | Primary |
Addresses
Primary practice location
6655 E US Highway 36
Avon, IN 46123-8923
Mailing address
5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Phone (888) 714-1927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Michigan Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
41700 Gardenbrook Rd
Suite 110
Novi, MI 48375-1320
Phone (800) 693-1916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99081384A | IN | MD | Social Worker |
| 6801107398 | MI | MD | Social Worker |
| 34008658A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current | Accepting new patients |
Locations
6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739
41700 Gardenbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 429-7309
89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840
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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366960361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 E US HIGHWAY 36 STE 100",
"city": "AVON",
"state": "IN",
"postal_code": "461236646",
"telephone_number": "888-714-1927",
"fax_number": "317-745-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461238923",
"telephone_number": "888-714-1927",
"fax_number": "317-745-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINBERG",
"first_name": "DANIEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LMSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-30",
"last_updated": "2022-07-21",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99081384A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008658A",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801107398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.