Active NPIIndividual providerSole proprietor

Elizabeth Blackburn-Gruver, LCSW

Social Worker, Clinical in Willingboro, New Jersey

NPI Number1063884161
Practice location
102 Toledo Ln, Willingboro, NJ 08046-3723
Fax
—
Last updated
October 28, 2015

Elizabeth Blackburn-Gruver is a Social Worker, Clinical based in Willingboro, NJ. Elizabeth Blackburn-Gruver practices in Willingboro, NJ and has the professional credentials of LCSW. The NPI Number for Elizabeth Blackburn-Gruver is 1063884161 and holds a License No. 44SC05190300 (NJ). The current practice location address for Elizabeth Blackburn-Gruver is 102 Toledo Ln, Willingboro, NJ 08046-3723 and can be reached out via phone at 609-937-0920.

Provider Profile Details

NPI Number
1063884161
Provider Name
Elizabeth Blackburn-Gruver
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
102 Toledo Ln, Willingboro, NJ 08046-3723
Phone Number
609-937-0920
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2015
Last Update Date
October 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Toledo Ln
Willingboro, NJ 08046-3723
Zip
08046-3723
Phone Number
609-937-0920
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
102 Toledo Ln
Willingboro, NJ 08046-3723
City
Willingboro
State
NJ
Zip
08046-3723
Phone Number
609-937-0920

License Information

License Number
44SC05190300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth Blackburn-Gruver, LCSW?

The NPI number of Elizabeth Blackburn-Gruver, LCSW is 1063884161. It was assigned on October 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Blackburn-Gruver, LCSW?

Elizabeth Blackburn-Gruver, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05190300.

Where does Elizabeth Blackburn-Gruver, LCSW practice?

The practice location is 102 Toledo Ln, Willingboro, NJ 08046-3723. The office can be reached at 609-937-0920 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063884161 directly on the NPPES registry website.

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