Patrick Grugan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020620 Issued in PA

Practice address

270 W Walnut LN # 2D
Philadelphia, PA 19144-3204

Phone

(215) 399-6215

NPI assigned

Nov 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wellness Support Counseling, LLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1003510975
  NPD Authorized official

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1952843732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W WALNUT LN # 2D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443204",
            "telephone_number": "215-399-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W WALNUT LN # 2D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443204",
            "telephone_number": "215-399-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUGAN",
        "first_name": "PATRICK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2023-12-06",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020620",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW133896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Gruber, PA-C
• Joshua Gruber, D.O.
• Daniel Gruener, M.D.
• Eric Charles Gruenthal, M.D.
• Cara C Grugan, PA-C
• Emily May Grulke
• Elizabeth Anne Grund, CPNP
• Robert Grundmeier, MD
• Christopher Grundy, PSY.D.
• Matthew Grunewald, MD, PHD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.