Organization Active NPI

Life by Design Therapeutic & Coaching Services PLLC

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1760056048
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 19, 2021

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

Authorized official

Name
Mrs. Kimberly Lauren Bonds Grocher, LCSWNPI 1912145434
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.