Grossmayer Wellness Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13700 Issued in FL

Legal business name

GROSSMAYER WELLNESS CENTER LLC

Practice address

12161 Ken Adams Way
Suite 154
Wellington, FL 33414-3194

Phone

(561) 247-5833

Fax

(954) 585-0177

NPI assigned

Feb 4, 2017

Last updated

Feb 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madeleine Grossmayer, LCSWNPI 1437462173

Title

Owner

Phone

(561) 247-5833

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madeleine Grossmayer, LCSW

  • Clinical Social Worker
  • Wellington, FL
  • NPI 1437462173
  Authorized official Same address or phone

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486166400000",
    "number": "1598203044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12161 KEN ADAMS WAY",
            "address_2": "SUITE 154",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143194",
            "telephone_number": "561-247-5833",
            "fax_number": "954-585-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 KEN ADAMS WAY",
            "address_2": "SUITE 154",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143194",
            "telephone_number": "561-247-5833",
            "fax_number": "954-585-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMAYER WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A",
        "authorized_official_last_name": "GROSSMAYER",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-247-5833",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel R Grillo, DDS,PA
• Randi Jill Grillo, M.ED
• Eric Grimm, D.O.
• Matthew Charles Grisanty
• Svetlana Grodzitsky, PSY.D.
• Madeleine Grossmayer, LCSW
• Guardian Angel Monitors
• Jennifer E Guest, ED.S.
• Guidewell Sanitas I, LLC
• Guiding Light Wellness Center LLC

• Clinical Social Worker in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; 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.