Individual provider Active NPI

Debra B Gross, LCSW

  • Clinical Social Worker
  • Tamarac, FL
National Provider Identifier
1942217658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1802 Issued in FL
Practice address
8333 W McNab Rd
Suite 131
Tamarac, FL 33321-3242
Phone
(954) 258-5216
Fax
(954) 345-4047
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW1802 FL Primary

Addresses

Primary practice location

8333 W McNab Rd
Suite 131
Tamarac, FL 33321-3242

Mailing address

12354 NW 26TH CT
Coral Springs, FL 33065-8005
Phone (954) 258-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040916001330 FL Practitioner - Clinical Social Worker 4284602392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12354 NW 26 CT
Coral Springs, FL 33065-8005

8333 W McNab Rd
Suite 227
Tamarac, FL 33065-3203
Phone (954) 258-5216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1802FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Debra B Gross LCSW P a Clinical CurrentSince May 30, 1989 Accepting new patients

Locations

8333 W McNab Rd
Ste 131
Tamarac, FL 33321
Phone (786) 489-7788

8333 W McNab Rd
Ste 227
Tamarac, FL 33321
Phone (954) 258-5216

Networks

  • Freedom Health HMO Network

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942217658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12354 NW 26TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330658005",
            "telephone_number": "954-258-5216",
            "fax_number": "954-345-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "address_2": "SUITE 131",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "954-258-5216",
            "fax_number": "954-345-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "DEBRA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.