Michael Joseph Groudas, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

059524-1 Issued in NY

Practice address

1 Pinnacle PL
Albany, NY 12203-3496

Phone

(518) 330-2699

Fax

(518) 207-1907

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1467732123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MELLON AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802714",
            "telephone_number": "518-273-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINNACLE PL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-330-2699",
            "fax_number": "518-207-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUDAS",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "059524-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Gross
• Kelly J Gross, PH.D.
• Marjorie Hope Gross, A.A.S., C.P.,
• Alec David Grossman, DO
• Carolyn Heyward Grosvenor, MD, MPH
• Scott Bradley Groudine, M.D.
• Ground Level Licensed Clinical Social Work PLLC
• Group Health Incorporated (GHI Family Dental Practice)
• Lisa Marie Groves, MS, ED
• Growing Hands Occupational Therapy LLC

• Clinical Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.