Kelly Jean Grover, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L.1100177 Issued in OH

Practice address

4450 Carver Woods Dr
Blue Ash, OH 45242-5527

Phone

(513) 984-9940

Fax

(513) 984-9858

NPI assigned

Feb 21, 2012

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

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

University of Toledo College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly Grover Counseling LLC

  • Clinical Social Worker
  • Blue Ash, OH
  • NPI 1134840499
  NPD (past) Authorized official
• Nancy Stella PHD PSYD, LLC

  • Clinical Psychologist
  • Blue Ash, OH
  • NPI 1710381058
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1609149715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425527",
            "telephone_number": "513-984-9940",
            "fax_number": "513-984-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425527",
            "telephone_number": "513-984-9940",
            "fax_number": "513-984-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "L.1100177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunice Michelle Grim
• Alice Grimes, LSW
• Anne M Groeschen
• Julia A. Groh, LPCC-S
• Jodi Grooms
• Samantha Grubbs, C-T
• Guardian EMS, LLC
• Ann Marie Guenther, RPH
• Matthew Gregory Guess, M.D.
• Sean Guilfoile

• Clinical Social Worker in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.