Individual provider Active NPI

Julio A Grova, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1427402619
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29550 Issued in CA
Practice address
10800 Hole Ave Ste 17
Riverside, CA 92505-2761
Phone
(951) 382-4789
Fax
(951) 351-2722
NPI assigned
Apr 14, 2016
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 LCSW29550 CA Primary

Addresses

Primary practice location

10800 Hole Ave Ste 17
Riverside, CA 92505-2761

Mailing address

PO Box 7953
Riverside, CA 92513-7953
Phone (951) 858-1964

Other names 1

  • Julio A Grova Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address focus@lasierracounseling.com Health Information Exchange (HIE)

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
LCSW29550CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Julio Grova CurrentSince Mar 7, 2021 Accepting new patients
Avery Centre Past Accepting new patients

Locations

10800 Hole Ave
Ste 17
Riverside, CA 92505
Phone (657) 319-5836

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1427402619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7953",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925137953",
            "telephone_number": "951-858-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 HOLE AVE STE 17",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925052761",
            "telephone_number": "951-382-4789",
            "fax_number": "951-351-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVA",
        "first_name": "JULIO",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "focus@lasierracounseling.com",
            "affiliation": "N",
            "endpointDescription": "Facility Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10800 Hole Ave Ste 17",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925052761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIO",
            "last_name": "GROVA",
            "middle_name": "A",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.