Frederick Walter Gross, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

10540 S Western Ave
Suite 311
Chicago, IL 60643-2536

Phone

(773) 239-0404

Fax

(773) 239-7968

NPI assigned

Nov 28, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568445286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 S OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606206218",
            "telephone_number": "773-239-1221",
            "fax_number": "773-239-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE",
            "address_2": "SUITE 311",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432536",
            "telephone_number": "773-239-0404",
            "fax_number": "773-239-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "FREDERICK",
        "middle_name": "WALTER",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "197088",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0001671347",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "16467890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean-Patrick Grosrenaud, DO
• Adrienne Gross
• Alexis Gross
• Anne Sophia Gross, BCBA
• Emma Rose Gross, LSW
• Israel Gross, PH.D.
• Jeffrey Gross
• Juliann M Gross, LCSW
• Katherine Ann Gross
• Kenton Gross, DO

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.