Jill Karen Grossberg, MSS, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW011251L Issued in PA

Practice address

112 N Broad St
RM 821
Phila, PA 19102-1510

Phone

(215) 568-0860

Fax

(215) 568-0769

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1437327848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 NORTHEAST AVE",
            "address_2": "APT 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163746",
            "telephone_number": "215-552-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST",
            "address_2": "RM 821",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191021510",
            "telephone_number": "215-568-0860",
            "fax_number": "215-568-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSBERG",
        "first_name": "JILL",
        "middle_name": "KAREN",
        "credential": "MSS, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW011251L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne G. Griffin, PH.D.
• Lawrence Robert Griffin, PH.D.
• Tiarra Lashae Griffin
• Elizabeth Susan Gross, MSW,LSW
• Harriet Gross, M.D.
• Joseph William Grugan, PTA
• Robert Ernest Gugger Jr., DDS
• Doray Ibrahim Gurkaynak, O.D.
• Allen B Haas, MD
• Fawzi P Habboushe, M.D.

• Social Worker in Phila, PA
• Providers in Phila, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.