Active NPI
Rosa Cormier Grgurich, LCSW, CSOTP
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1801870043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005827
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O81167M | Other | VA | SENTARA |
| 249880 | Other | VA | COMPSYCH |
| 156353 | Other | VA | ANTHEM |
| 341848 | Other | VA | TRICARE/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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony Bruder, PH D & Associates P C | Past | 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.
-
dba Bruder Counseling Center
- Marriage & Family Therapist
- Virginia Beach, VA
- NPI 1851483853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.