Individual provider Active NPI

Ingrid Norene Grossberg, PH.D.

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1700825734
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000101 Issued in MI
Practice address
33045 Hamilton CT
Suite W-300
Farmington Hills, MI 48334-3385
Phone
(248) 848-1558
Fax
(248) 848-3592
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000101 MI Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

33045 Hamilton CT
Suite W-300
Farmington Hills, MI 48334-3385

Mailing address

33045 Hamilton CT
Suite W-300
Farmington Hills, MI 48334-3385
Phone (248) 848-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050316000279 MI Practitioner - Clinical Social Worker 3971558628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates IncGroup PAC ID 0648225664, 14 clinicians

Practice addresses (Care Compare)

6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4523

6960 Orchard Lake Rd
Suite 240
West Bloomfield, MI 48322-4519
Phone (248) 626-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000101MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates Inc CurrentSince Mar 19, 2010 Accepting new patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients
Counseling Associates, Incorporated Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1700825734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33045 HAMILTON CT",
            "address_2": "SUITE W-300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343385",
            "telephone_number": "248-848-1558",
            "fax_number": "248-848-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33045 HAMILTON CT",
            "address_2": "SUITE W-300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343385",
            "telephone_number": "248-848-1558",
            "fax_number": "248-848-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSBERG",
        "first_name": "INGRID",
        "middle_name": "NORENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "000101",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.