Individual provider Active NPI

Michael Stephen Grove, PHD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1922159433
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R020966-1 Issued in NY
Practice address
211 E 43Rd St
Suite1005
New York, NY 10017-4707
Phone
(212) 860-3800
Fax
(212) 867-1555
NPI assigned
Jan 13, 2007
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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 R020966-1 NY Primary

Addresses

Primary practice location

211 E 43Rd St
Suite1005
New York, NY 10017-4707

Mailing address

211 E 43Rd St
Suite1005
New York, NY 10017-4707
Phone (212) 860-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071019000505 NY Practitioner - Clinical Social Worker 3779679816 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

141 E 89TH St
Apt 1B
New York, NY 10128-2382
Phone (212) 860-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R020966-1NYMDClinical Social Worker
020966NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1922159433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST",
            "address_2": "SUITE1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "212-860-3800",
            "fax_number": "212-867-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST",
            "address_2": "SUITE1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "212-860-3800",
            "fax_number": "212-867-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R020966-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.