Individual provider Active NPI

Cynthia Elaine Grosberg

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1932676905
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18917 Issued in MD
Practice address
6999 Reisterstown Rd
Baltimore, MD 21215-1430
Phone
(667) 600-3210
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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 18917 MD Primary

Addresses

Primary practice location

6999 Reisterstown Rd
Baltimore, MD 21215-1430

Mailing address

18 Farmhouse CT
Pikesville, MD 21208-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20191009001784 MD Practitioner - Clinical Social Worker 8123359940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6999 Reisterstown Rd
Baltimore, MD 21215-1430
Phone (667) 600-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18917MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc. Current Accepting new patients
Associated Catholic Charities, Inc CurrentSince Aug 19, 2019 Accepting new patients
Associated Catholic Charities, Inc CurrentSince Aug 19, 2019 Accepting new patients

Locations

6999 Reisterstown Rd
Baltimore, MD 21215
Phone (667) 600-2000

2700 Washington Ave
Lansdowne, MD 21227
Phone (667) 600-3984

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

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, 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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1932676905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FARMHOUSE CT",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151430",
            "telephone_number": "667-600-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSBERG",
        "first_name": "CYNTHIA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.