Alice Grutman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

96938 Issued in CA

Practice address

8220 Longleaf Dr
Elk Grove, CA 95758-1322

Phone

(916) 512-0195

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1720439151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 STANFORD RANCH RD # 1080",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781907",
            "telephone_number": "951-764-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 LONGLEAF DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957581322",
            "telephone_number": "916-512-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUTMAN",
        "first_name": "ALICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-04-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virinder S Grewal, DMD
• Kalani Griffin
• Natalie Katelyn Griffin
• Mark I Grijnsztein, M.D.
• Laura Gronbach
• Jingwen Guan
• Yesenia Guapo
• Mereani Gucake
• Mario Alexander Guendulain Jr.
• Jonas Guevarra

• Clinical Social Worker in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.