Active NPI
Michele Rhea Grosskurth, LCSW-R
- Clinical Social Worker
- Nesconset, NY
National Provider Identifier
1699850107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P027576-1
- Practice address
- 22 Rolling Hills Drive
Nesconset, NY 11767-2065 - Phone
- (631) 724-2744
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P027576-1 | NY | Primary |
Addresses
Primary practice location
22 Rolling Hills Drive
Nesconset, NY 11767-2065
Mailing address
22 Rolling Hills Drive
Nesconset, NY 11767-2065
Phone (631) 724-2744
Other names 1
- Mrs. Michele Rhea Grosskurth
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 |
|---|---|---|---|
| P027576-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1699850107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ROLLING HILLS DRIVE",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672065",
"telephone_number": "631-724-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ROLLING HILLS DRIVE",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672065",
"telephone_number": "631-724-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSKURTH",
"first_name": "MICHELE",
"middle_name": "RHEA",
"name_prefix": "Mrs.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P027576-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "GROSSKURTH",
"middle_name": "RHEA",
"prefix": "MRS.",
"credential": "LCSW-R",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Nesconset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.