Individual provider Active NPI

Shirley Grube

  • Clinical Social Worker
  • Aliquippa, PA
National Provider Identifier
1740177963
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW001900L Issued in PA
Practice address
3217 Heights Rd
Aliquippa, PA 15001-5161
Phone
(724) 375-1354
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 CW001900L PA Primary

Addresses

Primary practice location

3217 Heights Rd
Aliquippa, PA 15001-5161

Mailing address

3217 Heights Rd
Aliquippa, PA 15001-5161
Phone (724) 375-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260621000085 PA Practitioner - Clinical Social Worker 4284107319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3217 Heights Rd
Aliquippa, PA 15001-5161

535 Mack Ave
Kingsley, MI 49649-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW001900LPAMDClinical Social Worker

Organizations & group practices 1

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": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1740177963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 HEIGHTS RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150015161",
            "telephone_number": "724-375-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 HEIGHTS RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150015161",
            "telephone_number": "724-375-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "SHIRLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW001900L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.