Individual provider Active NPI

Terry Richard Groves Jr., MSW,LCSW

  • Clinical Social Worker
  • Blue Springs, MO
National Provider Identifier
1861637001
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012018179 Issued in MO
Practice address
5221 S Powell Ave
Blue Springs, MO 64015-2239
Phone
(816) 547-6930
NPI assigned
Dec 2, 2008
Last updated
Oct 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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 2012018179 MO Primary

Addresses

Primary practice location

5221 S Powell Ave
Blue Springs, MO 64015-2239

Mailing address

5221 S Powell Ave
Blue Springs, MO 64015-2239
Phone (816) 547-6930

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
2012018179MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Igniting Hope Counseling Services PastSince Nov 10, 2019 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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1861637001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 S POWELL AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152239",
            "telephone_number": "816-547-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 S POWELL AVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152239",
            "telephone_number": "816-547-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "TERRY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012018179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.