Individual provider Active NPI

Lev Grotel, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1750787602
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16007 Issued in MD
Practice address
5570 Sterrett PL
Suite 206
Columbia, MD 21044-2641
Phone
(301) 910-5343
NPI assigned
Nov 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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 16007 MD Primary

Addresses

Primary practice location

5570 Sterrett PL
Suite 206
Columbia, MD 21044-2641

Mailing address

5570 Sterrett PL
Suite 206
Columbia, MD 21044-2641
Phone (301) 910-5343

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
16007MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lev Grotel Psychotherapy, LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1750787602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442641",
            "telephone_number": "301-910-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442641",
            "telephone_number": "301-910-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTEL",
        "first_name": "LEV",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.