Active NPI
Daniel Christopher Grosser, LMSW
- Clinical Social Worker
- Waterloo, IA
National Provider Identifier
1740524883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008085
- Practice address
- 3251 W 9TH St
Waterloo, IA 50702-5310 - Phone
- (319) 234-2893
- Fax
- (319) 234-0354
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 008085 | IA | Primary |
Addresses
Primary practice location
3251 W 9TH St
Waterloo, IA 50702-5310
Mailing address
3251 W 9TH St
Waterloo, IA 50702-5310
Phone (319) 234-2893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074435 | Medicaid | IA |
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 |
|---|---|---|---|
| 008085 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hawk-Grundy Mental Health Center Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterloo, IA
- NPI 1316944598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1740524883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025310",
"telephone_number": "319-234-2893",
"fax_number": "319-234-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025310",
"telephone_number": "319-234-2893",
"fax_number": "319-234-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSER",
"first_name": "DANIEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "008085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074435",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.