Active NPI
Mary Ann Alexandra Groncki, MSW LCSW
- Psychologist
- Paoli, PA
National Provider Identifier
1609977404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- CW014618
- Practice address
- 3 Paoli Plaza
Mary Ann a Groncki MSW LCSW Suite D
Paoli, PA 19301 - Phone
- (215) 292-3276
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | CW014618 | PA | Primary |
| Clinical Social Worker | 1041C0700X | CW014618 | PA |
Addresses
Primary practice location
3 Paoli Plaza
Mary Ann a Groncki MSW LCSW Suite D
Paoli, PA 19301
Mailing address
713 04 State Road
Mary Ann Groncki
Berwyn, PA 19312
Phone (215) 292-3276
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2318680000 | Other | BCBS PERSONAL CHOICE | |
| 1000067657001 | Other | APS | |
| 7902198 | Other | AETNA | |
| 206938 | Other | MHN |
Other names 1
- Ms. Mary Ann Alexandra Groncki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW014618 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609977404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 04 STATE ROAD",
"address_2": "MARY ANN GRONCKI",
"city": "BERWYN",
"state": "PA",
"postal_code": "19312",
"telephone_number": "215-292-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PAOLI PLAZA",
"address_2": "MARY ANN A GRONCKI MSW LCSW SUITE D",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "215-292-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONCKI",
"first_name": "MARY ANN",
"middle_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "CW014618",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014618",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PERSONAL CHOICE",
"identifier": "2318680000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "1000067657001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7902198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "206938",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ANN",
"last_name": "GRONCKI",
"middle_name": "ALEXANDRA",
"prefix": "MS.",
"credential": "MSW LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.