Individual provider Active NPI

Rhiannon Gruppuso, LCSWC

  • Clinical Social Worker
  • Arnold, MD
National Provider Identifier
1689286791
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23464 Issued in MD
Practice address
1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone
(443) 906-3732
Fax
(443) 782-3478
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 23464 MD Primary

Addresses

Primary practice location

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815

Mailing address

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone (315) 704-9098

Other practice location 1

218 Kennedy Dr
Severna Park, MD 21146-3011
Phone (315) 704-9098

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

LicenseStateTypeSpecialty
23464MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1689286791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "315-704-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "443-906-3732",
            "fax_number": "443-782-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Kennedy Dr",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211463011",
            "country_code": "US",
            "telephone_number": "315-704-9098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUPPUSO",
        "first_name": "RHIANNON",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-12-02",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.