Individual provider Active NPI

Rosa Cormier Grgurich, LCSW, CSOTP

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1801870043
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005827 Issued in VA
Practice address
289 Independence Blvd
Pembroke 3, Ste 221
Virginia Beach, VA 23462-5493
Phone
(757) 498-9320
Fax
(757) 498-9321
NPI assigned
Dec 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0904005827 VA Primary

Addresses

Primary practice location

289 Independence Blvd
Pembroke 3, Ste 221
Virginia Beach, VA 23462-5493

Mailing address

289 Independence Blvd
Pembroke 3, Ste 221
Virginia Beach, VA 23462-5493
Phone (757) 498-9320

Other identifiers 4

IdentifierTypeStateIssuer
O81167MOtherVASENTARA
249880OtherVACOMPSYCH
156353OtherVAANTHEM
341848OtherVATRICARE/MHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tony Bruder, PH D & Associates P C PastSince Feb 15, 2015 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801870043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "PEMBROKE 3, STE 221",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-498-9320",
            "fax_number": "757-498-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "PEMBROKE 3, STE 221",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-498-9320",
            "fax_number": "757-498-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRGURICH",
        "first_name": "ROSA",
        "middle_name": "CORMIER",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "O81167M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "249880",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "156353",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/MHN",
            "identifier": "341848",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.