Active NPI
Howard Grossman, LCSW PHD
- Social Worker
- Washington, NJ
National Provider Identifier
1629054572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- NJ LCSW 44SC01479700
- Practice address
- 492 Route 57 W
Washington, NJ 07882 - Phone
- (908) 689-1000
- Fax
- (908) 689-4529
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NJ LCSW 44SC01479700 | NJ | Primary |
Addresses
Primary practice location
492 Route 57 W
Washington, NJ 07882
Mailing address
29 Whisper Way E
Ledgewood, NJ 07852
Phone (973) 713-5969
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ LCSW 44SC01479700 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629054572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 WHISPER WAY E",
"city": "LEDGEWOOD",
"state": "NJ",
"postal_code": "07852",
"telephone_number": "973-713-5969",
"fax_number": "908-689-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 ROUTE 57 W",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "07882",
"telephone_number": "908-689-1000",
"fax_number": "908-689-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "HOWARD",
"credential": "LCSW PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "NJ LCSW 44SC01479700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.