Individual provider Active NPI

Cindy K Groll, LCSW

  • Clinical Social Worker
  • Mount Juliet, TN
National Provider Identifier
1972887727
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000005114 Issued in TN
Practice address
1901A Logue Rd
Mount Juliet, TN 37122-3825
Phone
(615) 815-1772
Fax
(615) 453-0011
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 LSW0000005114 TN Primary

Addresses

Primary practice location

1901A Logue Rd
Mount Juliet, TN 37122-3825

Mailing address

1901A Logue Rd
Mount Juliet, TN 37122-3825
Phone (615) 815-1772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000005114TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Focus Center Counseling & Psychiatric Services Past Accepting new patients

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": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1972887727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901A LOGUE RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223825",
            "telephone_number": "615-815-1772",
            "fax_number": "615-453-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901A LOGUE RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223825",
            "telephone_number": "615-815-1772",
            "fax_number": "615-453-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLL",
        "first_name": "CINDY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.