Active NPI
Sonia Grovner, LMSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1760159693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112303
- Practice address
- 528 Oak St
Syracuse, NY 13203-1643 - Phone
- (315) 868-4810
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 112303 | NY | Primary |
Addresses
Primary practice location
528 Oak St
Syracuse, NY 13203-1643
Mailing address
528 Oak St
Syracuse, NY 13203-1643
Phone (315) 868-4810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112303 | Other | NY | LMSW |
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 |
|---|---|---|---|
| 112303 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1760159693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 OAK ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031643",
"telephone_number": "315-868-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 OAK ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031643",
"telephone_number": "315-868-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVNER",
"first_name": "SONIA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "112303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "112303",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.