Individual provider Active NPI

Michelle Ferrone Grasso, LCSW

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1902338536
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58448 Issued in TX
Practice address
2201 S Lakeline Blvd
Apt 3302
Cedar Park, TX 78613-3593
Phone
(574) 386-1973
NPI assigned
Apr 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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 58448 TX Primary

Addresses

Primary practice location

2201 S Lakeline Blvd
Apt 3302
Cedar Park, TX 78613-3593

Mailing address

2201 S Lakeline Blvd
Apt 3302
Cedar Park, TX 78613-3593
Phone (574) 386-1973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725000853 TX Practitioner - Clinical Social Worker 9032489034 Reassigns benefits to 2 organizations
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Border Region MH Mr Community CenterGroup PAC ID 0648207381, 19 clinicians

Practice addresses (Care Compare)

101 1St St
Zapata, TX 78076-3319
Phone (956) 794-9664

1500 Pappas St
Laredo, TX 78041-1701
Phone (956) 794-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58448TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Border Region MH Mr Community Center CurrentSince Jul 8, 2017 Accepting new patients
Bluebonnet Trails Community MHMR Center Clinical CurrentSince Jun 5, 2017 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Jun 5, 2017 Accepting new patients

Locations

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1902338536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S LAKELINE BLVD",
            "address_2": "APT 3302",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133593",
            "telephone_number": "574-386-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S LAKELINE BLVD",
            "address_2": "APT 3302",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133593",
            "telephone_number": "574-386-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "MICHELLE",
        "middle_name": "FERRONE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.