Individual provider Active NPI

Margaret M Gruenke, L.C.S.W.

  • Clinical Social Worker
  • San Geronimo, CA
National Provider Identifier
1669610663
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078502 Issued in DC
Practice address
2 Meadow Way
San Geronimo, CA 94963-0558
Phone
(646) 852-7404
NPI assigned
Jan 28, 2009
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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 LC50078502 DC Primary

Addresses

Primary practice location

2 Meadow Way
San Geronimo, CA 94963-0558

Mailing address

2 Meadow Way
San Geronimo, CA 94963-0558
Phone (646) 852-7404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20180611002392 CA Practitioner - Clinical Social Worker 1557419678 Practice locations: San Anselmo, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

156 A Oak Springs Dr
San Anselmo, CA 94960-1327
Phone (415) 418-9686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1669610663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEADOW WAY",
            "city": "SAN GERONIMO",
            "state": "CA",
            "postal_code": "949630558",
            "telephone_number": "646-852-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEADOW WAY",
            "city": "SAN GERONIMO",
            "state": "CA",
            "postal_code": "949630558",
            "telephone_number": "646-852-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENKE",
        "first_name": "MARGARET",
        "middle_name": "M",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Geronimo, CA

Sources for this page

Verify at the official NPI Registry.