Individual provider Active NPI

Sondra Grossman, MSW-LCSW

  • Clinical Social Worker
  • Laguna Hills, CA
National Provider Identifier
1649319872
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 16740 Issued in CA
Practice address
25283 Cabot Rd
107
Laguna Hills, CA 92653-5522
Phone
(949) 215-9140
Fax
(949) 215-7798
NPI assigned
Feb 5, 2007
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 16740 CA Primary

Addresses

Primary practice location

25283 Cabot Rd
107
Laguna Hills, CA 92653-5522

Mailing address

23471 Ribalta
Mission Viejo, CA 92692-1339
Phone (949) 215-9140

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 16740CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1649319872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23471 RIBALTA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921339",
            "telephone_number": "949-215-9140",
            "fax_number": "949-215-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25283 CABOT RD",
            "address_2": "107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535522",
            "telephone_number": "949-215-9140",
            "fax_number": "949-215-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "SONDRA",
        "name_prefix": "Mrs.",
        "credential": "MSW-LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 16740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.