Active NPI
Life by Design Therapeutic & Coaching Services PLLC
- Clinical Social Worker
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIFE BY DESIGN THERAPEUTIC & COACHING SERVICES PLLC
- Practice address
- 280 Dobbs Ferry Rd Ste 102
White Plains, NY 10607-1908 - Phone
- (646) 760-7921
- Fax
- (347) 851-1580
- NPI assigned
- May 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Lauren Bonds Grocher, LCSW
- Title
- Owner/Clinical Director
- Phone
- (646) 760-7921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
280 Dobbs Ferry Rd Ste 102
White Plains, NY 10607-1908
Mailing address
429 E Prospect Ave
Mount Vernon, NY 10553-1124
Phone (646) 760-7921
Other practice location 1
2419 E Commercial Blvd Ste 203
Fort Lauderdale, FL 33308-4042
Phone (646) 760-7921
National Provider Directory
National Provider DirectoryLocations
2419 E Commercial Blvd
Ste 203
Ft Lauderdale, FL 33308
Phone (561) 214-4113
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- White Plains, NY
- NPI 1912145434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1760056048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 E PROSPECT AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531124",
"telephone_number": "646-760-7921",
"fax_number": "347-851-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 DOBBS FERRY RD STE 102",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106071908",
"telephone_number": "646-760-7921",
"fax_number": "347-851-1580"
}
],
"practiceLocations": [
{
"address_1": "2419 E Commercial Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333084042",
"country_code": "US",
"telephone_number": "646-760-7921",
"fax_number": "347-851-1580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIFE BY DESIGN THERAPEUTIC & COACHING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "GROCHER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "LAUREN BONDS",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "646-760-7921",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.