Organization Active NPI

Grounded in Growth Therapy LLC

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1598474868
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROUNDED IN GROWTH THERAPY LLC
Practice address
9164 N 95TH LN
Peoria, AZ 85345-6346
Phone
(602) 525-7997
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Dominiquea Castronovo, LCSW
Title
Founder
Phone
(602) 525-7997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9164 N 95TH LN
Peoria, AZ 85345-6346

Mailing address

806 Phillips LN
Statesville, NC 28625-4596
Phone (602) 525-7997

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dominiquealcsw@groundandgrowtherapy.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1598474868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 PHILLIPS LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254596",
            "telephone_number": "602-525-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9164 N 95TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456346",
            "telephone_number": "602-525-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED IN GROWTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "CASTRONOVO",
        "authorized_official_first_name": "DOMINIQUEA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "602-525-7997",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominiquealcsw@groundandgrowtherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "806 Phillips Ln",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286254596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.