Kristin Gross

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113651 Issued in MA

Practice address

24 Putting Green LN
Penfield, NY 14526-2534

Phone

(978) 761-0932

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1972944577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PUTTING GREEN LN",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PUTTING GREEN LN",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262534",
            "telephone_number": "978-761-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Stuart Greer, L.C.S.W.
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• Carrie M Griswold, SPEECH PATHOLOGIST
• Grogan Acupuncture PLLC
• Julie Grogan, L.AC.
• Jeanne E Grove
• Pamela C Grover, MD
• Jennifer Joan Lipa Gruttadaro, RPT
• Rachel Ann Gulvin, DPT
• Hanife Gokce Gundogdu

• Clinical Social Worker in Penfield, NY
• Providers in Penfield, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.