Debra Ellen Grollman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1029460 Issued in MA

Practice address

275 Belmont St
Worcester, MA 01604-1675

Phone

(508) 421-4527

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1386656718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041675",
            "telephone_number": "508-421-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041675",
            "telephone_number": "508-421-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLLMAN",
        "first_name": "DEBRA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029460",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew A Grimm, MD, PHD
• Olivia Grocott
• Conor F Grogan, MD
• James R. Grogan, PA-C
• Katherine Rose Grogan, MA CCC-SLP
• Kerry Mark Grolman, D.D.S.
• Wendy Grolnick, PH.D.
• Robert R Grondin, DPM
• Suzanne Mattos Grondin, DPM
• Danielle Grondine, DPT

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.