Marlene Elaine Gruver, L.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S0018034 Issued in OH

Practice address

104 Javit CT
Austintown, OH 44515-2409

Phone

(330) 797-4050

Fax

(330) 797-4090

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881626729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 MEANDER RESERVE CT",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068680",
            "telephone_number": "330-533-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152409",
            "telephone_number": "330-797-4050",
            "fax_number": "330-797-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUVER",
        "first_name": "MARLENE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "L.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0018034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHEAKLEY UNICOMP",
            "identifier": "18232226700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "3418557621A13",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5255599",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Dawn Green
• Amanda Greene
• Melissa Greenwalt
• Jeremy Gregorek
• Cindy Griffith
• Mary Guappone, RN
• Gani Lynn Gurley, CNA, CPR, BLS
• Kyle Guterba, PMHNP
• Gail Habib, R.N.
• Kristine Nicole Hake

• Clinical Social Worker in Austintown, OH
• Providers in Austintown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.