Mark Gronski, LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005000398 Issued in MO

Practice address

311 S Main St
Suite 100
O Fallon, MO 63366-2807

Phone

(636) 281-1990

Fax

(636) 281-1995

NPI assigned

Mar 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1841565363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WATSON RD",
            "address_2": "SUITE G101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261528",
            "telephone_number": "314-544-3800",
            "fax_number": "314-843-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662807",
            "telephone_number": "636-281-1990",
            "fax_number": "636-281-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONSKI",
        "first_name": "MARK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005000398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Patricia Grierson, M.A., CCC-SLP
• Chad Eldon Griffin, PLPC
• Andria Griffith, MA PLPC
• Melinda Groenke
• Scott Andrew Grogan, D.C.
• Amy Grosch
• Richard Francis Grosch
• Danielle Suzanne Grunloh-Gumpenberger, MD
• Brian A Grus, MD
• Jack Guo

• Clinical Social Worker in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.