Individual provider Active NPI

Meg Grossman, LISW

  • Social Worker
  • Granville, OH
National Provider Identifier
1780758490
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0005215 Issued in OH
Practice address
935 River Rd
Suite I
Granville, OH 43023-9584
Phone
(740) 587-1720
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0005215 OH Primary

Addresses

Primary practice location

935 River Rd
Suite I
Granville, OH 43023-9584

Mailing address

935 River Rd
Suite I
Granville, OH 43023-9584
Phone (740) 587-1720

Other identifiers 1

IdentifierTypeStateIssuer
0005215OtherOHSOCIAL WORKER LICENSE

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
0005215OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Counseling Center LLC CurrentSince Aug 20, 2010 Accepting new patients

Locations

935 River Rd
Unit I
Granville, OH 43023
Phone (740) 587-1720

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1780758490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 RIVER RD",
            "address_2": "SUITE I",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239584",
            "telephone_number": "740-587-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 RIVER RD",
            "address_2": "SUITE I",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239584",
            "telephone_number": "740-587-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MEG",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "0005215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER LICENSE",
            "identifier": "0005215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.